Alexandra Maria Ackerman, NP is a medicare enrolled "Nurse Practitioner" physician in Newnan, Georgia. Her current practice location is
110 Oak Hill Blvd Ste 200, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 304-0987.
Alexandra Maria Ackerman is licensed to practice in Georgia (license number RN283458) 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 1669100418.
Physician's Profile
Full Name | Alexandra Maria Ackerman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 110 Oak Hill Blvd Ste 200, Newnan, Georgia |
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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: 1669100418
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274918750
- Enrollment ID: I20220920001060
Medical Identifiers
Medical identifiers for Alexandra Maria Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669100418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN283458 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN283458 (Georgia) | 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. Alexandra Maria Ackerman allows following entities to bill medicare on her behalf.
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
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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. Alexandra Maria Ackerman 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 |
Alexandra Maria Ackerman, NP 531 Witcher Rd, Newnan, GA 30263-4640 Ph: (262) 758-1654 | Alexandra Maria Ackerman, NP 110 Oak Hill Blvd Ste 200, Newnan, GA 30265-2313 Ph: (770) 304-0987 |
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