Alisha Polite, PSYD is a medicare enrolled "Psychologist" provider in Rome, Georgia. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lifesource Of North Carolina and her current practice location is
134 Redmond Circle Nw, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at
(910) 742-9243.
Alisha Polite is licensed to practice in Georgia (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811328347.
Healthcare Provider's Profile
Full Name | Alisha Polite |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 134 Redmond Circle Nw, Rome, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alisha Polite graduated from medical school in 2015
NPI Data:
- NPI Number: 1811328347
- Provider Enumeration Date: 12/10/2013
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375971609
- Enrollment ID: I20200319000864
Medical Identifiers
Medical identifiers for Alisha Polite such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811328347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lifesource Of North Carolina | 7416132428 | 154 |
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. Alisha Polite allows following entities to bill medicare on her behalf.
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
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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. Alisha Polite 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 |
Alisha Polite, PSYD 1308 E 69th St, Savannah, GA 31404-5724 Ph: () - | Alisha Polite, PSYD 134 Redmond Circle Nw, Rome, GA 30165-1307 Ph: (910) 742-9243 |
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