Alicia Diane Hensley, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Thorntown, Indiana. 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 Witham Memorial Hospital and her current practice location is
151 E Bow St, Thorntown, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 436-2400.
Alicia Diane Hensley is licensed to practice in Indiana (license number 71005725A) 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 1346619715.
Provider's Profile
Full Name | Alicia Diane Hensley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 151 E Bow St, Thorntown, Indiana |
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Accepts Medicare Assignments | Yes. 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 Diane Hensley graduated from nursing school in 2015
NPI Data:
- NPI Number: 1346619715
- Provider Enumeration Date: 09/16/2015
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557679412
- Enrollment ID: I20150928000512
Medical Identifiers
Medical identifiers for Alicia Diane Hensley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346619715 | NPI | - | NPPES |
201331770 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28176948A (Indiana) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 71005725A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Witham Memorial Hospital | 4082523170 | 93 |
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 Diane Hensley allows following entities to bill medicare on her behalf.
Entity Name | Witham Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
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Entity Name | Pike Medical Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770689242 PECOS PAC ID: 1850495003 Enrollment ID: O20070328000668 |
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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 Diane Hensley 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 Diane Hensley, AGNP-C 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Alicia Diane Hensley, AGNP-C 151 E Bow St, Thorntown, IN 46071-1164 Ph: (765) 436-2400 |
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