Mrs Shellia Anne Kornegay, APN - Medicare Nurse Practitioner in Pine Bluff, AR

Mrs Shellia Anne Kornegay, APN is a medicare enrolled "Nurse Practitioner - Family" in Pine Bluff, Arkansas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Arkansas Emergency Physicians Llp and her current practice location is 1515 West 42nd Street, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-7111.

Mrs Shellia Anne Kornegay is licensed to practice in Arkansas (license number AO3247) 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 1124258553.

Contact Information

Mrs Shellia Anne Kornegay, APN
1515 West 42nd Street,
Pine Bluff, AR 71602
(870) 541-7111
Not Available



Provider's Profile

Full NameMrs Shellia Anne Kornegay
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location1515 West 42nd Street, Pine Bluff, 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:
  • Mrs Shellia Anne Kornegay graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1124258553
  • Provider Enumeration Date: 07/20/2009
  • Last Update Date: 11/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1456492909
  • Enrollment ID: I20100106000761

Medical Identifiers

Medical identifiers for Mrs Shellia Anne Kornegay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124258553NPI-NPPES
180128758MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AO3247 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Regional Medical CenterPine bluff, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Arkansas Emergency Physicians Llp620414631917

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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. Mrs Shellia Anne Kornegay allows following entities to bill medicare on her behalf.
Entity NameElite Emergency Russellville Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740661354
PECOS PAC ID: 8426364993
Enrollment ID: O20150925001745

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Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647

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Entity NameArkansas Emergency Physician Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720529498
PECOS PAC ID: 7911284500
Enrollment ID: O20170509001162

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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. Mrs Shellia Anne Kornegay 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
Mrs Shellia Anne Kornegay, APN
1515 W 42nd Ave,
Pine Bluff, AR 71603-7004

Ph: (870) 541-7111
Mrs Shellia Anne Kornegay, APN
1515 West 42nd Street,
Pine Bluff, AR 71602

Ph: (870) 541-7111

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Nurse Practitioner Nurses in Pine Bluff, AR

Mrs. Diana Gray Millenbaugh, MSN, RNP, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603
Phone: 870-534-4847    Fax: 870-534-4884
Mrs. Lillian Jynes, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 209 N Blake St, Pine Bluff, AR 71601
Phone: 870-536-6600    
Dr. Michelle Leigh Bagby, DNP, FNP-C, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 S Tennessee St, Pine Bluff, AR 71601
Phone: 705-432-3808    Fax: 870-543-2368
Collene Rogers, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603
Phone: 870-541-7211    
Ms. Ernice Lashette Rogers, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603
Phone: 870-535-2142    
Cornelia Rhodes, APRN-CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603
Phone: 870-267-4912    
Shanda Vinson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1515 W 42nd Ave, Pine Bluff, AR 71603
Phone: 870-541-6400    

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