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DR. ANGELIQUE THAIS FONTENETTE M.D.
NPI 1376695098
Emergency Medicine - Emergency Medical Services in Pine Bluff, AR

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
JEFFERSON REGIONAL MEDICAL CENTER, 1600 WEST 40TH, PINE BLUFF, AR 71603(501) 541-7100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angelique Thais Fontenette M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELIQUE THAIS FONTENETTE M.D. (NPI 1376695098) is an individual emergency medical services provider in Pine Bluff, Arkansas, licensed in Arkansas (N8418) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1376695098
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameDR. ANGELIQUE THAIS FONTENETTECredential: M.D.
Location AddressJEFFERSON REGIONAL MEDICAL CENTER, 1600 WEST 40THPine Bluff, AR 71603
Mailing Address11810 Shady Ridge DrLittle Rock, AR 72211-4589 · (501) 228-0527
Phone(501) 541-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376695098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in AR · N8418
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
JEFFERSON REGIONAL MEDICAL CENTER, Pine Bluff, AR 71603
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Other Identifiers 2

Medicare UPINF79856AR
Medicare ID-Type Unspecified5J392AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Angelique Thais Fontenette M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002941994
PECOS Enrollment IDI20100317000515
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
456 services431 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
143 services138 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
67 services66 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelique Fontenette's NPI number?

The NPI number for Angelique Fontenette is 1376695098. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Angelique Fontenette located?

Angelique Fontenette practices at Jefferson Regional Medical Center 1600 West 40th, Pine Bluff, AR 71603. The listed phone number is (501) 541-7100.

What is Angelique Fontenette's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Angelique Fontenette enrolled in Medicare?

Yes. Angelique Fontenette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelique Fontenette was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.