Alice Lee, is a medicare enrolled "Dietitian, Registered" provider in Water Valley, Mississippi. Her current practice location is
604 S Main St, Water Valley, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 473-4050.
Alice Lee is licensed to practice in Mississippi (license number 1001126) 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 1487040663.
Healthcare Provider's Profile
| Full Name | Alice Lee |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 604 S Main St, Water Valley, Mississippi |
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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: 1487040663
- Provider Enumeration Date: 04/14/2015
- Last Update Date: 04/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 6800197237
- Enrollment ID: I20151209000702
Medical Identifiers
Medical identifiers for Alice Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487040663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1001126 (Mississippi) | 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. Alice Lee allows following entities to bill medicare on her behalf.
| Provider Name | Yalobusha General Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740380914
PECOS PAC ID: 4486601648
Enrollment ID: O20050331000530 |
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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. Alice Lee 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 |
|---|
Alice Lee,
604 S Main St,
Water Valley, MS 38965-3468
Ph: (662) 473-4050 | Alice Lee,
604 S Main St,
Water Valley, MS 38965-3468
Ph: (662) 473-4050 |
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