Dr Holli Beth Bagwell, DO in Springdale, AR

Dr Holli Beth Bagwell, DO is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Springdale, Arkansas. Her current practice location is 2601 Gene George Blvd, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 725-6977.

Dr Holli Beth Bagwell is licensed to practice in Arkansas (license number E-7049) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639346240.

Contact Information

	Dr Holli Beth Bagwell, DO
	2601 Gene George Blvd, Springdale, AR 72762
	(479) 725-6977
	(479) 725-6577

Map and Direction

Physician's Profile

Full Name	Dr Holli Beth Bagwell
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	2601 Gene George Blvd, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639346240
Provider Enumeration Date: 05/13/2008
Last Update Date: 11/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7315168408
Enrollment ID: I20180920001111

Medical Identifiers

Medical identifiers for Dr Holli Beth Bagwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639346240	NPI	-	NPPES
200701360A	Medicaid	OK
230539003	Medicaid	AR
200016157	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	E-7049 (Arkansas)	Primary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2014025044 (Missouri)	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 Holli Beth Bagwell allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Childrens Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396274841 PECOS PAC ID: 7719252139 Enrollment ID: O20171010002445

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 Holli Beth Bagwell 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 Holli Beth Bagwell, DO 1 Childrens Way # 844, Little Rock, AR 72202-3500 Ph: (501) 364-2090	Dr Holli Beth Bagwell, DO 2601 Gene George Blvd, Springdale, AR 72762 Ph: (479) 725-6977

Reviews and Comments

Pediatrics Doctors in Springdale, AR

Jeffrey Dale Grills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577
Dr. Meredith Anne Denton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3057 Springdale Ave, Springdale, AR 72762 Phone: 479-756-1699 Fax: 479-756-1693
Dr. Bryce Alston Vance, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-309-5391 Fax: 479-725-6582
Casie Marie James, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6866 Fax: 479-725-6868
Dr. Sarah Morris Weston, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577
Andrew Arthur Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 794-725-6801 Fax: 479-725-6577
Dr. Matthew W Deel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 Gene George Blvd Ste 100, Springdale, AR 72762 Phone: 479-750-0125 Fax: 479-750-0323

Dr Holli Beth Bagwell, DO - Medicare Pediatrics in Springdale, AR