Southeast Rehab LLC.

PAC ID

6709884604The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice

Enrolled in

AR

Enrollments

3

Group size

4 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

4In 1 place

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Southeast Rehab LLC

  dba Southeast Rural Health Clinic

  • Rural Health Clinic/Center
  • Lake Village, AR
  • NPI 1194358523
• Southeast Rehab LLC

  dba Southeast Rehabilitation Hospital

  • Rehabilitation Hospital
  • Lake Village, AR
  • NPI 1700959905
• Southeast Rehab LLC.

  dba Southeast Part B Practice

  • Gerontology Nurse Practitioner
  • Lake Village, AR
  • NPI 1295276970

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

• Autumn Bennett, WHNP-BC, AGPCNP-BC

  • Women's Health Nurse Practitioner
  • Crossett, AR
  • NPI 1649662578
• Erica Elliott Brumley, FNP

  • Family Nurse Practitioner
  • Lake Village, AR
  • NPI 1710409883
• Deidre J Hill, FNP

  • Family Nurse Practitioner
  • Bastrop, LA
  • NPI 1639803745
• John R. Russell, MD

  • Hospitalist Physician
  • Lake Village, AR
  • NPI 1952380651

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.