Alayna Renae Underdahl, is a medicare enrolled "Nurse Practitioner - Family" in Northwood, Iowa. Her current practice location is
803 9th Ave N, Northwood, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 324-1221.
Alayna Renae Underdahl is licensed to practice in Iowa (license number A180610) 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 1154150431.
Provider's Profile
| Full Name | Alayna Renae Underdahl |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 803 9th Ave N, Northwood, Iowa |
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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: 1154150431
- Provider Enumeration Date: 07/26/2024
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002347085
- Enrollment ID: I20241001002812
Medical Identifiers
Medical identifiers for Alayna Renae Underdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154150431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A180610 (Iowa) | 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. Alayna Renae Underdahl allows following entities to bill medicare on her behalf.
| Entity Name | North Iowa Mercy Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780278242
PECOS PAC ID: 7810809076
Enrollment ID: O20031105000273 |
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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. Alayna Renae Underdahl 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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Alayna Renae Underdahl,
1000 4th St Sw,
Mason City, IA 50401-2800
Ph: (641) 428-7000 | Alayna Renae Underdahl,
803 9th Ave N,
Northwood, IA 50459-1002
Ph: (641) 324-1221 |
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