Ms Gracie Mae Adkisson, PMHNP-BC - Medicare Nurse Practitioner in Texarkana, AR

Ms Gracie Mae Adkisson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Texarkana, Arkansas. Her current practice location is 2301 Pecan St, Texarkana, Arkansas. You can reach out to her office (for appointments etc.) via phone at (903) 278-5906.

Ms Gracie Mae Adkisson is licensed to practice in Arizona (license number AP4254) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063799856.

Contact Information

Ms Gracie Mae Adkisson, PMHNP-BC
2301 Pecan St,
Texarkana, AR 71854-3656
(903) 278-5906
Not Available



Provider's Profile

Full NameMs Gracie Mae Adkisson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2301 Pecan St, Texarkana, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063799856
  • Provider Enumeration Date: 11/08/2011
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002107257
  • Enrollment ID: I20160620001831

Medical Identifiers

Medical identifiers for Ms Gracie Mae Adkisson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063799856NPI-NPPES
AP126190OtherTXSTATE LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP126190 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024177015 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP4254 (Arizona)Primary

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. Ms Gracie Mae Adkisson allows following entities to bill medicare on her behalf.
Entity NameBexar County Board Of Trustees For Mental Health Mental Retardation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730134586
PECOS PAC ID: 5496652760
Enrollment ID: O20031215000906

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Entity NameLakes Regional Mental Health Mental Retardation Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881752715
PECOS PAC ID: 9739175225
Enrollment ID: O20040421000795

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Entity NameHealth And Human Services Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058

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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. Ms Gracie Mae Adkisson 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
Ms Gracie Mae Adkisson, PMHNP-BC
5812 Mcknight Rd,
Texarkana, TX 75503-0960

Ph: (903) 278-5906
Ms Gracie Mae Adkisson, PMHNP-BC
2301 Pecan St,
Texarkana, AR 71854-3656

Ph: (903) 278-5906

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Nurse Practitioner Nurses in Texarkana, AR

Tommy Caldwell,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1205 E 35th St, Texarkana, AR 71854
Phone: 903-614-5355    Fax: 903-614-5399
Deborah L Porchia,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 300 E 6th St, Texarkana, AR 71854
Phone: 870-779-6000    Fax: 870-779-6125
Mrs. Crystal Marie Stanberry, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1205 E 35th St, Texarkana, AR 71854
Phone: 903-735-5355    
Belinda K Doss, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 East St, Texarkana, AR 71854
Phone: 870-773-2177    Fax: 870-773-2758
Porscha Nicole Branch, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1205 E 35th St, Texarkana, AR 71854
Phone: 870-216-0050    Fax: 870-216-0096
Mrs. Martega Marie Walton, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1307 Trinity Blvd, Texarkana, AR 71854
Phone: 870-773-6467    Fax: 870-216-0061

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