Alyssa Ann Anderson, is a medicare enrolled "Social Worker - Clinical" provider in Hopkinsville, Kentucky. Her current practice location is
607 Hammond Plz, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 881-9551.
Alyssa Ann Anderson is licensed to practice in Kentucky (license number 255120) 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 1336618743.
Healthcare Provider's Profile
| Full Name | Alyssa Ann Anderson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 607 Hammond Plz, Hopkinsville, Kentucky |
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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: 1336618743
- Provider Enumeration Date: 11/14/2018
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991147266
- Enrollment ID: I20240531002822
Medical Identifiers
Medical identifiers for Alyssa Ann Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336618743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 255120 (Kentucky) | 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. Alyssa Ann Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220512000081 |
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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. Alyssa Ann Anderson 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 |
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Alyssa Ann Anderson,
Po Box 614,
Hopkinsville, KY 42241-0614
Ph: (270) 886-2205 | Alyssa Ann Anderson,
607 Hammond Plz,
Hopkinsville, KY 42240-4971
Ph: (270) 881-9551 |
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