Erin Jo Dodge, APRN - Medicare Nurse Practitioner in Russellville, AR

Erin Jo Dodge, APRN is a medicare enrolled "Nurse Practitioner - Family" in Russellville, Arkansas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Marys Physician Services Llc and her current practice location is 101 Skyline Dr, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 968-2345.

Erin Jo Dodge is licensed to practice in Arkansas (license number A004708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245683895.

Contact Information

Erin Jo Dodge, APRN
101 Skyline Dr,
Russellville, AR 72801-3395
(479) 968-2345
(479) 890-2467



Provider's Profile

Full NameErin Jo Dodge
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location101 Skyline Dr, Russellville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erin Jo Dodge graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1245683895
  • Provider Enumeration Date: 07/19/2016
  • Last Update Date: 09/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789970740
  • Enrollment ID: I20160831001341

Medical Identifiers

Medical identifiers for Erin Jo Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245683895NPI-NPPES
2015019123OtherANCC CERTIFICATION
215755758MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A004708 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Regional Medical CenterRussellville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Physician Services Llc498169803260

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Erin Jo Dodge allows following entities to bill medicare on her behalf.
Entity NameSt Marys Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084991
PECOS PAC ID: 4981698032
Enrollment ID: O20040609000759

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erin Jo Dodge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Erin Jo Dodge, APRN
101 Skyline Dr,
Russellville, AR 72801-3395

Ph: (479) 968-2345
Erin Jo Dodge, APRN
101 Skyline Dr,
Russellville, AR 72801-3395

Ph: (479) 968-2345

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Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2210 W Main St, Russellville, AR 72801
Phone: 479-968-8940    Fax: 479-968-8901
Ashley Mccoy, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 209 S Portland Ave, Russellville, AR 72801
Phone: 501-906-0000    
Mrs. Ashley Nichole Bennett, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-968-2841    
Kristy Hogan, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801
Phone: 479-368-0329    
Ms. Candace Darlene Welcher, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3812 W Main St., Russellville, AR 72801
Phone: 479-968-1245    
Lindsey Sharp,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-964-2198    

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