Alexis Ahlbaum, is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Michigan. Her current practice location is
205 N East Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 205-4730.
Alexis Ahlbaum is licensed to practice in Michigan (license number 6801116912) 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 1831892199.
Healthcare Provider's Profile
| Full Name | Alexis Ahlbaum |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 205 N East Ave, Jackson, Michigan |
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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: 1831892199
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416396585
- Enrollment ID: I20240423000500
Medical Identifiers
Medical identifiers for Alexis Ahlbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831892199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6801116912 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801116912 (Michigan) | 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. Alexis Ahlbaum allows following entities to bill medicare on her behalf.
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326078866
PECOS PAC ID: 0244136067
Enrollment ID: O20031215000361 |
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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. Alexis Ahlbaum 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 |
|---|
Alexis Ahlbaum,
5633 Poplar Dr,
Jackson, MI 49201-8808
Ph: (517) 438-6595 | Alexis Ahlbaum,
205 N East Ave,
Jackson, MI 49201-1753
Ph: (517) 205-4730 |
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