| Dr Angelique Thais Fontenette, MD | |
|
Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 | |
| (501) 541-7100 | |
| Not Available |
| Full Name | Dr Angelique Thais Fontenette |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | Jefferson Regional Medical Center, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376695098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | N8418 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center- Conway | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greenbrier Emergency Services, Inc. | 2668377359 | 47 |
| Entity Name | Baptist Medcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
| Entity Name | Southeast Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647 |
| Entity Name | Greenbrier Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20191011002500 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angelique Thais Fontenette, MD 11810 Shady Ridge Dr, Little Rock, AR 72211-4589 Ph: (501) 228-0527 | Dr Angelique Thais Fontenette, MD Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 Ph: (501) 541-7100 |
Elizabeth V Rigsby, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-3280 Fax: 870-541-7622 | |
Dr. Mohanned Hassan Mohammed Ahmed, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100 Fax: 870-541-7204 | |
Khaled Hassan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6010 Fax: 870-541-6009 | |
Dr. David Lee Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-3198 | |
Hassan Alakshar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Candace Wilson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010 | |
Jermey Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 |