Alexa Gabrielle Visco, is a medicare enrolled "Clinical Nurse Specialist - Neonatal" in Burlington, Vermont. Her current practice location is
111 Colchester Ave, Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 847-2370.
Alexa Gabrielle Visco is licensed to practice in Vermont (license number 1010102746) 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 1912303181.
Provider's Profile
| Full Name | Alexa Gabrielle Visco |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Neonatal |
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| Location | 111 Colchester Ave, Burlington, Vermont |
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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: 1912303181
- Provider Enumeration Date: 11/14/2014
- Last Update Date: 11/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507183423
- Enrollment ID: I20150402000238
Medical Identifiers
Medical identifiers for Alexa Gabrielle Visco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912303181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SN0000X | Clinical Nurse Specialist - Neonatal | 1010102746 (Vermont) | 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 Gabrielle Visco allows following entities to bill medicare on her behalf.
| Entity Name | University Of Vermont Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047 |
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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 Gabrielle Visco 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 Gabrielle Visco,
83 North Ave, Apt 3,
Burlington, VT 05401-5312
Ph: (802) 318-1391 | Alexa Gabrielle Visco,
111 Colchester Ave,
Burlington, VT 05401-1473
Ph: (802) 847-2370 |
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