DR. ANGELIQUE THAIS FONTENETTE M.D.
NPI 1376695098
Emergency Medicine - Emergency Medical Services in Pine Bluff, AR
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Angelique Fontenette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 65 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 166 clinicians in this Medicare group
- Reassigned Medicare billing, Arkansas enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Angelique Fontenette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Fontenette reassigns Medicare benefits to 3 organizations: Southeast Arkansas Emergency Physicians LLP (Pine Bluff, AR), Baptist Medcare, Inc (Little Rock, AR) and Greenbrier Emergency Services, Inc. (AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelique Fontenette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angelique Fontenette accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Angelique Fontenette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Dr. Angelique Thais Fontenette, M.D. · NPI 1376695098
Emergency Medical Services physician in Pine Bluff, Arkansas. Individual provider, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1376695098 (Entity type: Individual)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** N8418 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** JEFFERSON REGIONAL MEDICAL CENTER, 1600 WEST 40TH, Pine Bluff, AR 71603
- **Phone:** (501) 541-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southeast Arkansas Emergency Physicians LLP (NPI 1922475078, Pine Bluff, AR); Baptist Medcare, Inc (NPI 1699868323, Little Rock, AR); Greenbrier Emergency Services, Inc. (AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN F79856 (AR); Medicare ID-Type Unspecified 5J392 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1376695098) · Data from the CMS NPPES public registry.