Beth Katelynn Holloway, APRN in Pine Bluff, AR

Beth Katelynn Holloway, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pine Bluff, Arkansas. Her current practice location is 4800 S Hazel St, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 534-5533.

Beth Katelynn Holloway is licensed to practice in Arkansas (license number 224850) 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 1134803323.

Contact Information

	Beth Katelynn Holloway, APRN
	4800 S Hazel St, Pine Bluff, AR 71603-6860
	(870) 534-5533
	Not Available

Map and Direction

Provider's Profile

Full Name	Beth Katelynn Holloway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4800 S Hazel St, Pine Bluff, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134803323
Provider Enumeration Date: 06/09/2023
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3971958463
Enrollment ID: I20231018004165

Medical Identifiers

Medical identifiers for Beth Katelynn Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134803323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	224850 (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. Beth Katelynn Holloway allows following entities to bill medicare on her behalf.

Entity Name	Integrated Care Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016

Entity Name	Icp Arkansas Aco Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681

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. Beth Katelynn Holloway 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
Beth Katelynn Holloway, APRN 219 Grant 748, Sheridan, AR 72150-6905 Ph: (870) 308-9482	Beth Katelynn Holloway, APRN 4800 S Hazel St, Pine Bluff, AR 71603-6860 Ph: (870) 534-5533

Reviews and Comments

Nurse Practitioner Nurses in Pine Bluff, AR

Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600
Dr. Michelle Leigh Bagby, DNP, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 S Tennessee St, Pine Bluff, AR 71601 Phone: 705-432-3808 Fax: 870-543-2368
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912
Shanda Vinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-6400

Beth Katelynn Holloway, APRN - Medicare Nurse Practitioner in Pine Bluff, AR