Red River Health LLC
A Medicare group practice based in Jonesboro, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416320783), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416320783
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR, TX
- Enrollments
- 2
- Group size
- 6 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230404002594 | TX | Part B Supplier - Clinic/Group Practice | 1205552130 |
| O20230926004033 | AR | Part B Supplier - Clinic/Group Practice | 1346923273 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Red River Health, LLC
- Multi-Specialty Clinic/Center
- Texarkana, TX
- NPI 1205552130
-
Red River Health, LLC
dba Red River Health of Jonesboro
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1346923273
Practice locations
- Texarkana, TX1
- Jonesboro, AR1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).
-
Shannon Brooke Booker, M.D.
- Family Medicine Physician
- Jonesboro, AR
- NPI 1407046600
-
Bryan D Bowen, MD
- Family Medicine Physician
- Wake Village, TX
- NPI 1770578072
-
Madison G Chavers, APRN
- Family Nurse Practitioner
- Trumann, AR
- NPI 1891592259
-
Savannah Coin, NURSE PRACTITIONER
- Family Nurse Practitioner
- Kennett, MO
- NPI 1043692528
-
Michael Gossett
- Family Nurse Practitioner
- Paragould, AR
- NPI 1811541964
-
Tara Lamm, APRN, FNP
- Family Nurse Practitioner
- Texarkana, TX
- NPI 1952866626
-
Nikki Scott, NP
- Adult Health Nurse Practitioner
- Texarkana, TX
- NPI 1619676418
-
Gary Mark Wilson, NP
- Family Nurse Practitioner
- Jonesboro, AR
- NPI 1962844522
Sources for this page
- 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.