Dr Gene Bruce Waldon, MD is a medicare enrolled "Hospitalist" physician in Bentonville, Arkansas. His current practice location is
3000 Medical Center Parkway, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 553-2524.
Dr Gene Bruce Waldon is licensed to practice in Arkansas (license number C4981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790733301.
Physician's Profile
| Full Name | Dr Gene Bruce Waldon |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 3000 Medical Center Parkway, Bentonville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790733301
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 02/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 6608854542
- Enrollment ID: I20091005000374
Medical Identifiers
Medical identifiers for Dr Gene Bruce Waldon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790733301 | NPI | - | NPPES |
| 500601380 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD28692 (Oregon) | Secondary |
| 208M00000X | Hospitalist | MD28692 (Oregon) | Secondary |
| 208M00000X | Hospitalist | C4981 (Arkansas) | Primary |
| 207R00000X | Internal Medicine | C4981 (Arkansas) | Secondary |
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 Gene Bruce Waldon allows following entities to bill medicare on his behalf.
| Entity Name | Circle Of Life |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386755460
PECOS PAC ID: 9335102896
Enrollment ID: O20101229000024 |
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| Entity Name | South Central Hospitalists, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992127187
PECOS PAC ID: 0547493934
Enrollment ID: O20140509001680 |
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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. Dr Gene Bruce Waldon 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 Address | Practice Location Address |
|---|
Dr Gene Bruce Waldon, MD
3000 Medical Center Parkway,
Bentonville, AR 72712
Ph: (479) 553-2524 | Dr Gene Bruce Waldon, MD
3000 Medical Center Parkway,
Bentonville, AR 72712
Ph: (479) 553-2524 |
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