Bj Kidwell, in Bentonville, AR - Medicare Nurse Practitioner

Bj Kidwell, is a medicare enrolled "Nurse Practitioner - Family" in Bentonville, Arkansas. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice, Ed Physicians Of West Louisiana, Llc and his current practice location is 3101 Se 14th St, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 250-1053.

Bj Kidwell is licensed to practice in Arkansas (license number 218019) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366102253.

Contact Information

	Bj Kidwell,
	3101 Se 14th St, Bentonville, AR 72712-4900
	(479) 250-1053
	(479) 250-0923

Map and Direction

Provider's Profile

Full Name	Bj Kidwell
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	3101 Se 14th St, Bentonville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bj Kidwell graduated from nursing school in 2021

NPI Data:

NPI Number: 1366102253
Provider Enumeration Date: 12/20/2021
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7618360884
Enrollment ID: I20220210002023

Medical Identifiers

Medical identifiers for Bj Kidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366102253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	223761 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	218019 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Glenwood Regional Medical Center	West monroe, LA	Hospital
St Francis Medical Center	Monroe, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice	4082902721	534
Ed Physicians Of West Louisiana, Llc	4880795665	15

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. Bj Kidwell allows following entities to bill medicare on his behalf.

Entity Name	Ed Physicians Of West Louisiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255460143 PECOS PAC ID: 4880795665 Enrollment ID: O20070724000101

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

Entity Name	Monroe Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386235331 PECOS PAC ID: 8820405079 Enrollment ID: O20210406000374

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. Bj Kidwell 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
Bj Kidwell, 3101 Se 14th St, Bentonville, AR 72712-4900 Ph: (479) 250-1053	Bj Kidwell, 3101 Se 14th St, Bentonville, AR 72712-4900 Ph: (479) 250-1053

Reviews and Comments

Nurse Practitioner Nurses in Bentonville, AR

Mrs. Deborah Mullens Shirey, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Se Walton Blvd., Ozark Urgent Care, Bentonville, AR 72712 Phone: 479-464-0400
Janice Williams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937
Diana Rene Dunbar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250
Valerie Bedwell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 Medical Center Pkwy Ste 240b, Bentonville, AR 72712 Phone: 479-553-2200
Ms. Lisa Elaine Atkins, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250
Lorinda M Macdonald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Sw I St Ste 23, Bentonville, AR 72712 Phone: 603-356-4949
Mr. Johnny Mac Stevens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 Se 14th St Ste B, Bentonville, AR 72712 Phone: 479-250-1053 Fax: 479-250-0923

Bj Kidwell, - Medicare Nurse Practitioner in Bentonville, AR