Philip A Cedeno, MD - Medicare Surgery in Bentonville, AR

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.

Contact Information

Philip A Cedeno, MD
2900 Medical Center Pkwy Ste 300,
Bentonville, AR 72712-3214
(479) 553-2250
(479) 553-2261



Physician's Profile

Full NamePhilip A Cedeno
GenderMale
SpecialitySurgery
Location2900 Medical Center Pkwy Ste 300, Bentonville, Arkansas
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1457468498NPI-NPPES
100125180CMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery E-7736 (Arkansas)Primary
208600000XSurgery 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 NameNorthwest Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Surgery Doctors in Bentonville, AR


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