Mrs Alisa Ann Miles, INTERN is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Tulsa, Oklahoma. Her current practice location is
11740 E 21st St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 437-9495.
Mrs Alisa Ann Miles is licensed to practice in * (Not Available) (license number ) 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 1194063610.
Healthcare Provider's Profile
| Full Name | Mrs Alisa Ann Miles |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11740 E 21st St, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194063610
- Provider Enumeration Date: 01/17/2013
- Last Update Date: 03/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507120904
- Enrollment ID: I20180511001328
Medical Identifiers
Medical identifiers for Mrs Alisa Ann Miles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194063610 | NPI | - | NPPES |
| 1194063610 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mrs Alisa Ann Miles allows following entities to bill medicare on her behalf.
| Entity Name | Community Pathways Unlimited Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659328284
PECOS PAC ID: 6608776349
Enrollment ID: O20040109001005 |
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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. Mrs Alisa Ann Miles 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 |
|---|
Mrs Alisa Ann Miles, INTERN
2109 S Highway 69,
Wagoner, OK 74467-9310
Ph: (918) 708-3006 | Mrs Alisa Ann Miles, INTERN
11740 E 21st St,
Tulsa, OK 74129-1820
Ph: (918) 437-9495 |
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