Alisa D Dearmond, APRN in Sparta, IL - Medicare Nurse Practitioner

Alisa D Dearmond, APRN is a medicare enrolled "Nurse Practitioner - Family" in Sparta, Illinois. Her current practice location is 1300 N Market St, Sparta, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 443-4138.

Alisa D Dearmond is licensed to practice in Illinois (license number 209012307) 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 1427456961.

Contact Information

	Alisa D Dearmond, APRN
	1300 N Market St, Sparta, IL 62286-1048
	(618) 443-4138
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisa D Dearmond
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1300 N Market St, Sparta, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427456961
Provider Enumeration Date: 12/16/2014
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7315265352
Enrollment ID: I20150423000612

Medical Identifiers

Medical identifiers for Alisa D Dearmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427456961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209012307 (Illinois)	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. Alisa D Dearmond allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Gi Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093775405 PECOS PAC ID: 1658337456 Enrollment ID: O20041203000280

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. Alisa D Dearmond 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
Alisa D Dearmond, APRN Po Box 378, Sparta, IL 62286-0378 Ph: (618) 443-1338	Alisa D Dearmond, APRN 1300 N Market St, Sparta, IL 62286-1048 Ph: (618) 443-4138

Reviews and Comments

Nurse Practitioner Nurses in Sparta, IL

Mrs. Deanne C Rieckenberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 Phone: 618-443-4889
Carrie Ann Lutman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-2177 Fax: 618-443-1380
Destiny Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383
Abby Marie Woods, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383
Ashley Renee Friederich, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-2177
Nickie Murphy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Burns Ave, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383

Alisa D Dearmond, APRN - Medicare Nurse Practitioner in Sparta, IL