Alexis Passingham, is a medicare enrolled "Nurse Practitioner - Family" in Holly Ridge, North Carolina. Her current practice location is
206 N Dyson St, Holly Ridge, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 329-7591.
Alexis Passingham is licensed to practice in North Carolina (license number 5006184) 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 1568808251.
Provider's Profile
Full Name | Alexis Passingham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 206 N Dyson St, Holly Ridge, 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: 1568808251
- Provider Enumeration Date: 05/21/2013
- Last Update Date: 10/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 9335393800
- Enrollment ID: I20200902001769
Medical Identifiers
Medical identifiers for Alexis Passingham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568808251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5006184 (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 Passingham allows following entities to bill medicare on her behalf.
Entity Name | Island Family Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831414150 PECOS PAC ID: 8123156445 Enrollment ID: O20100506000984 |
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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 Passingham 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 Passingham, 206 N Dyson St, Holly Ridge, NC 28445-8502 Ph: (910) 329-7591 | Alexis Passingham, 206 N Dyson St, Holly Ridge, NC 28445-8502 Ph: (910) 329-7591 |
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