Alisha Deponio, AGACNP-BC in Traverse City, MI

Alisha Deponio, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Traverse City, Michigan. Her current practice location is 1200 Sixth St Ste 200, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-5800.

Alisha Deponio is licensed to practice in Michigan (license number 4704284761NSA2111S) 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 1720749344.

Contact Information

	Alisha Deponio, AGACNP-BC
	1200 Sixth St Ste 200, Traverse City, MI 49684-2369
	(231) 935-5800
	(231) 935-5799

Map and Direction

Provider's Profile

Full Name	Alisha Deponio
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1200 Sixth St Ste 200, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720749344
Provider Enumeration Date: 01/05/2022
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0446694814
Enrollment ID: I20240214001575

Medical Identifiers

Medical identifiers for Alisha Deponio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720749344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704284761NSA2111S (Michigan)	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. Alisha Deponio allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061

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. Alisha Deponio 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
Alisha Deponio, AGACNP-BC 1200 Sixth St Ste 200, Traverse City, MI 49684-2369 Ph: (231) 935-5800	Alisha Deponio, AGACNP-BC 1200 Sixth St Ste 200, Traverse City, MI 49684-2369 Ph: (231) 935-5800

Reviews and Comments

Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-3250
Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112
Kellie Ann Herringa, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Cass St, Traverse City, MI 49684 Phone: 231-941-1155 Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084

Alisha Deponio, AGACNP-BC - Medicare Nurse Practitioner in Traverse City, MI