Dr Michelle Nicole Phillips, MD is a medicare enrolled "Pediatrics" physician in Farmington, Arkansas. Her current practice location is
3150 E Heritage Pkwy, Farmington, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 400-1140.
Dr Michelle Nicole Phillips is licensed to practice in Arkansas (license number E-10842) 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 1629599287.
Physician's Profile
| Full Name | Dr Michelle Nicole Phillips |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 3150 E Heritage Pkwy, Farmington, 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: 1629599287
- Provider Enumeration Date: 07/03/2017
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870869472
- Enrollment ID: I20171026001612
Medical Identifiers
Medical identifiers for Dr Michelle Nicole Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629599287 | NPI | - | NPPES |
| 200775380A | Medicaid | OK | |
| 200069656 | Medicaid | MO | |
| 224759001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 25MA10164900 (New Jersey) | Secondary |
| 208000000X | Pediatrics | E-10842 (Arkansas) | Primary |
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 Michelle Nicole Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Barron Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790736940
PECOS PAC ID: 8820083785
Enrollment ID: O20040419001416 |
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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 Michelle Nicole Phillips 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 Michelle Nicole Phillips, MD
Po Box 497,
Augusta, AR 72006-0497
Ph: () - | Dr Michelle Nicole Phillips, MD
3150 E Heritage Pkwy,
Farmington, AR 72730-5529
Ph: (479) 400-1140 |
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