Alexa Terrell, MSN, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Gilbert, Arizona. Her current practice location is
2196 E Williams Field Rd Ste 116, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at
(888) 663-6331.
Alexa Terrell is licensed to practice in Arizona (license number 218513) 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 1063276970.
Physician's Profile
| Full Name | Alexa Terrell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2196 E Williams Field Rd Ste 116, Gilbert, Arizona |
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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: 1063276970
- Provider Enumeration Date: 02/12/2024
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042657470
- Enrollment ID: I20240321001176
Medical Identifiers
Medical identifiers for Alexa Terrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063276970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 218513 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | 218513 (Arizona) | 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. Alexa Terrell allows following entities to bill medicare on her behalf.
| Entity Name | Omg Arizona, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184014854
PECOS PAC ID: 9638499247
Enrollment ID: O20150522000007 |
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| Entity Name | Iora Senior Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619376456
PECOS PAC ID: 0143520189
Enrollment ID: O20151124001666 |
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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. Alexa Terrell 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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Alexa Terrell, MSN, FNP-C
1 Embarcadero Ctr Ste 1900,
San Francisco, CA 94111-3723
Ph: (415) 658-6791 | Alexa Terrell, MSN, FNP-C
2196 E Williams Field Rd Ste 116,
Gilbert, AZ 85295-0755
Ph: (888) 663-6331 |
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