Beth Katelynn Holloway, APRN - Medicare Nurse Practitioner 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 NameBeth Katelynn Holloway
GenderFemale
SpecialityNurse Practitioner - Family
Location4800 S Hazel St, Pine Bluff, Arkansas
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1134803323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse 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 NameIntegrated Care Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164762662
PECOS PAC ID: 8527200955
Enrollment ID: O20130814000016
Entity NameIcp Arkansas Aco Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. Debra Venola Davis, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3104 S Catalpa St Ste 9, Pine Bluff, AR 71603
Phone: 870-718-2822    
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, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2906 Market St, Pine Bluff, AR 71601
Phone: 870-850-8200    Fax: 870-850-8424
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.