Alisha Jo Whitebird, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Wynnewood, Oklahoma. Her current practice location is
114 S Dean A Mcgee Ave, Wynnewood, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 276-3553.
Alisha Jo Whitebird is licensed to practice in Oklahoma (license number R0122164) 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 1124619879.
Provider's Profile
Full Name | Alisha Jo Whitebird |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 114 S Dean A Mcgee Ave, Wynnewood, Oklahoma |
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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: 1124619879
- Provider Enumeration Date: 01/26/2021
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254724966
- Enrollment ID: I20230317000346
Medical Identifiers
Medical identifiers for Alisha Jo Whitebird such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124619879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | R0122164 (Oklahoma) | 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 Jo Whitebird allows following entities to bill medicare on her behalf.
Entity Name | Family Matters Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598475733 PECOS PAC ID: 4981078391 Enrollment ID: O20230327002187 |
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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. Alisha Jo Whitebird 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 Jo Whitebird, DNP, APRN, FNP-C 114 S Dean A Mcgee Ave, Wynnewood, OK 73098-7822 Ph: () - | Alisha Jo Whitebird, DNP, APRN, FNP-C 114 S Dean A Mcgee Ave, Wynnewood, OK 73098-7822 Ph: (405) 276-3553 |
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