Alexis Olivia Caudle, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Thomasville, North Carolina. Her current practice location is
711 National Hwy Ste 500, Thomasville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 475-9164.
Alexis Olivia Caudle is licensed to practice in North Carolina (license number 5016736) 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 1871221697.
Physician's Profile
Full Name | Alexis Olivia Caudle |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 711 National Hwy Ste 500, Thomasville, North Carolina |
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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: 1871221697
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 10/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183090939
- Enrollment ID: I20221019000368
Medical Identifiers
Medical identifiers for Alexis Olivia Caudle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871221697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F06221282 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5016736 (North Carolina) | 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. Alexis Olivia Caudle allows following entities to bill medicare on her behalf.
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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Entity Name | Wake Forest Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
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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. Alexis Olivia Caudle 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 |
Alexis Olivia Caudle, FNP-C 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-1331 | Alexis Olivia Caudle, FNP-C 711 National Hwy Ste 500, Thomasville, NC 27360-2669 Ph: (336) 475-9164 |
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