Alicia Bacchus, - Medicare Nurse Practitioner in New York, NY

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Alicia Bacchus, is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trustees Of Columbia University In The City Of New York and her current practice location is 177 Fort Washington Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (707) 344-2097.

Alicia Bacchus is licensed to practice in New York (license number F341946) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255790192.

Contact Information

Alicia Bacchus,
177 Fort Washington Ave,
New York, NY 10032
(707) 344-2097
Not Available

Map and Direction




Provider's Profile

Full NameAlicia Bacchus
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location177 Fort Washington Ave, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alicia Bacchus graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1255790192
  • Provider Enumeration Date: 02/21/2016
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961782958
  • Enrollment ID: I20171017000319

Medical Identifiers

Medical identifiers for Alicia Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255790192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F341946 (New York)Primary
363LF0000XNurse Practitioner - Family 95003307 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trustees Of Columbia University In The City Of New York85279725461895

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 Bacchus allows following entities to bill medicare on her behalf.
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437176047
PECOS PAC ID: 6002715794
Enrollment ID: O20031231000637
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013958610
PECOS PAC ID: 6800709023
Enrollment ID: O20040405001223
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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 Bacchus 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 AddressPractice Location Address
Alicia Bacchus,
630 W 168th St # Street4,
New York, NY 10032-3725

Ph: (707) 344-2097		Alicia Bacchus,
177 Fort Washington Ave,
New York, NY 10032

Ph: (707) 344-2097

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.