Alissa Southway, FNP-C in Macomb, MI - Medicare Nurse Practitioner

Alissa Southway, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Macomb, Michigan. Her current practice location is 46600 Romeo Plank Rd, Suite #4, Macomb, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 228-5437.

Alissa Southway is licensed to practice in Michigan (license number 4704284597) 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 1396190328.

Contact Information

	Alissa Southway, FNP-C
	46600 Romeo Plank Rd, Suite #4, Macomb, MI 48044-5741
	(586) 228-5437
	Not Available

Map and Direction

Provider's Profile

Full Name	Alissa Southway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	46600 Romeo Plank Rd, Macomb, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396190328
Provider Enumeration Date: 04/27/2016
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9335499458
Enrollment ID: I20180911000069

Medical Identifiers

Medical identifiers for Alissa Southway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396190328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704284597 (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. Alissa Southway allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Alissa Southway 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
Alissa Southway, FNP-C 45726 Pentwater Dr, Macomb, MI 48044-4237 Ph: (586) 382-5711	Alissa Southway, FNP-C 46600 Romeo Plank Rd, Suite #4, Macomb, MI 48044-5741 Ph: (586) 228-5437

Reviews and Comments

Nurse Practitioner Nurses in Macomb, MI

Nicole Marie Trudeau-klimek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 23 Mile Rd Ste 101, Macomb, MI 48044 Phone: 586-868-9200 Fax: 586-868-9201
Mrs. Danielle Holly Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45441 Heydenreich Rd, Macomb, MI 48044 Phone: 862-268-6005
Mrs. Praisy Jacob, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50861 Nesting Ridge Dr, Macomb, MI 48044 Phone: 586-764-9892
Christina Leigh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21844 23 Mile Rd, Macomb, MI 48042 Phone: 586-598-8115 Fax: 586-789-7426
Kimberly Snyder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46867 Creekside Blvd, Macomb, MI 48044 Phone: 248-302-9116
Brian Mangenje, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17866 Player Dr, Macomb, MI 48042 Phone: 248-413-5014
Mrs. Krystal Ann Marshall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19159 Gearhart Dr, Macomb, MI 48042 Phone: 586-551-5886

Alissa Southway, FNP-C - Medicare Nurse Practitioner in Macomb, MI