Alicia Haisley, NP is a medicare enrolled "Nurse Practitioner" physician in Fayetteville, Georgia. Her current practice location is
1267 Highway 54 W Ste 2200, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 716-0051.
Alicia Haisley is licensed to practice in Georgia (license number RN230695) 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 1942819545.
Physician's Profile
| Full Name | Alicia Haisley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1267 Highway 54 W Ste 2200, Fayetteville, Georgia |
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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: 1942819545
- Provider Enumeration Date: 07/29/2020
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082064522
- Enrollment ID: I20240710000954
Medical Identifiers
Medical identifiers for Alicia Haisley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942819545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN230695 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN230695 (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. Alicia Haisley allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Cardiology Of Atlanta, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153 |
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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. Alicia Haisley 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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Alicia Haisley, NP
504 Village Pt,
Fairburn, GA 30213-5100
Ph: () - | Alicia Haisley, NP
1267 Highway 54 W Ste 2200,
Fayetteville, GA 30214-2110
Ph: (770) 716-0051 |
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