Alyssa Alexander, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Island, Nebraska. Her current practice location is
1516 N Taylor Ave, Grand Island, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 671-4089.
Alyssa Alexander is licensed to practice in Nebraska (license number 1827) 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 1730680364.
Healthcare Provider's Profile
Full Name | Alyssa Alexander |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1516 N Taylor Ave, Grand Island, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730680364
- Provider Enumeration Date: 02/28/2018
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436510963
- Enrollment ID: I20230801001652
Medical Identifiers
Medical identifiers for Alyssa Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730680364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2156 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1827 (Nebraska) | 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 Alexander allows following entities to bill medicare on her behalf.
Entity Name | Monarch Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043529555 PECOS PAC ID: 3678899507 Enrollment ID: O20150311001740 |
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Entity Name | Mental Wellness Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780235143 PECOS PAC ID: 6103156716 Enrollment ID: O20190925000623 |
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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 Alexander 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 |
Alyssa Alexander, LICSW 1516 N Taylor Ave, Grand Island, NE 68803-2630 Ph: (402) 671-4089 | Alyssa Alexander, LICSW 1516 N Taylor Ave, Grand Island, NE 68803-2630 Ph: (402) 671-4089 |
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