Bethany B Jennings, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Little Rock, Arkansas. Her current practice location is
1 Childrens Way # 512-3, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 364-1479.
Bethany B Jennings is licensed to practice in Arkansas (license number A005581) 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 1174028534.
Physician's Profile
Full Name | Bethany B Jennings |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 1 Childrens Way # 512-3, Little Rock, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174028534
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 02/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284989187
- Enrollment ID: I20180618001952
Medical Identifiers
Medical identifiers for Bethany B Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174028534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A005581 (Arkansas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | A005581 (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. Bethany B Jennings allows following entities to bill medicare on her behalf.
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750375895 PECOS PAC ID: 4082528955 Enrollment ID: O20031114000421 |
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Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
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Entity Name | Arkansas Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
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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. Bethany B Jennings 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 |
Bethany B Jennings, CNP 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 | Bethany B Jennings, CNP 1 Childrens Way # 512-3, Little Rock, AR 72202-3500 Ph: (501) 364-1479 |
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