Dr Angelique Thais Fontenette, MD - Medicare Emergency Medicine in Pine Bluff, AR

Dr Angelique Thais Fontenette, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Pine Bluff, Arkansas. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Greenbrier Emergency Services, Inc. and her current practice location is Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 541-7100.

Dr Angelique Thais Fontenette is licensed to practice in Arkansas (license number N8418) 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 1376695098.

Contact Information

Dr Angelique Thais Fontenette, MD
Jefferson Regional Medical Center, 1600 West 40th,
Pine Bluff, AR 71603
(501) 541-7100
Not Available

Map and Direction




Physician's Profile

Full NameDr Angelique Thais Fontenette
GenderFemale
SpecialityEmergency Medicine
Experience33 Years
LocationJefferson Regional Medical Center, 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:
  • Dr Angelique Thais Fontenette graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1376695098
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002941994
  • Enrollment ID: I20100317000515

Medical Identifiers

Medical identifiers for Dr Angelique Thais Fontenette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376695098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services N8418 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center- ConwayConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greenbrier Emergency Services, Inc.266837735936

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. Dr Angelique Thais Fontenette allows following entities to bill medicare on her behalf.
Entity NameBaptist Medcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699868323
PECOS PAC ID: 5698667624
Enrollment ID: O20040325001348
Entity NameElite Emergency Russellville Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740661354
PECOS PAC ID: 8426364993
Enrollment ID: O20150925001745
Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647
Entity NameGreenbrier Emergency Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568401461
PECOS PAC ID: 2668377359
Enrollment ID: O20191011002500

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. Dr Angelique Thais Fontenette 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
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

Reviews and Comments


Emergency Medicine Doctors in Pine Bluff, AR

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
Sree Chellappan, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010
Khaled Hassan, MD
Emergency Medicine
Medicare: Medicare Enrolled
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: Medicare Enrolled
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: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.