Philip A Cedeno, MD is a medicare enrolled "Surgery" physician in Bentonville, Arkansas. His current practice location is
2900 Medical Center Pkwy Ste 300, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 553-2250.
Philip A Cedeno is licensed to practice in Arkansas (license number E-7736) 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 1457468498.
Physician's Profile
Full Name | Philip A Cedeno |
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Gender | Male |
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Speciality | Surgery |
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Location | 2900 Medical Center Pkwy Ste 300, 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. |
NPI Data:
- NPI Number: 1457468498
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749216141
- Enrollment ID: I20121114000117
Medical Identifiers
Medical identifiers for Philip A Cedeno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457468498 | NPI | - | NPPES |
100125180C | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | E-7736 (Arkansas) | Primary |
208600000X | Surgery | 0421713 (Kansas) | 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. Philip A Cedeno allows following entities to bill medicare on his behalf.
Entity Name | Northwest Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882 |
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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. Philip A Cedeno 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 |
Philip A Cedeno, MD 2900 Medical Center Pkwy Ste 300, Bentonville, AR 72712-3214 Ph: (479) 553-2250 | Philip A Cedeno, MD 2900 Medical Center Pkwy Ste 300, Bentonville, AR 72712-3214 Ph: (479) 553-2250 |
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