Alicia Ann Dove, FNP is a medicare enrolled "Nurse Practitioner - Family" in Huntertown, Indiana. Her current practice location is
922 Skillet Ave, Huntertown, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 312-8172.
Alicia Ann Dove is licensed to practice in Indiana (license number 71011646A) 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 1548922420.
Provider's Profile
Full Name | Alicia Ann Dove |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 922 Skillet Ave, Huntertown, Indiana |
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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: 1548922420
- Provider Enumeration Date: 10/08/2021
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800294257
- Enrollment ID: I20211014003285
Medical Identifiers
Medical identifiers for Alicia Ann Dove such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548922420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71011646A (Indiana) | 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 Ann Dove allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
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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 Ann Dove 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 |
Alicia Ann Dove, FNP 6326 Constitution Dr, Fort Wayne, IN 46804-1518 Ph: (260) 312-8172 | Alicia Ann Dove, FNP 922 Skillet Ave, Huntertown, IN 46748-0109 Ph: (260) 312-8172 |
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