Allysha Huddleson, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Wall Lake, Iowa. Her current practice location is
210 W 1st St Ste 1, Wall Lake, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 664-2418.
Allysha Huddleson is licensed to practice in Iowa (license number A173430) 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 1508641820.
Provider's Profile
| Full Name | Allysha Huddleson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 210 W 1st St Ste 1, Wall Lake, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508641820
- Provider Enumeration Date: 08/25/2023
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456701796
- Enrollment ID: I20231228001151
Medical Identifiers
Medical identifiers for Allysha Huddleson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508641820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A173430 (Iowa) | 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. Allysha Huddleson allows following entities to bill medicare on her behalf.
| Entity Name | Marys Care Memorial Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033736871
PECOS PAC ID: 0941628887
Enrollment ID: O20200909002935 |
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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. Allysha Huddleson 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 |
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Allysha Huddleson, ARNP
Po Box 181,
Wall Lake, IA 51466-0181
Ph: (712) 660-3923 | Allysha Huddleson, ARNP
210 W 1st St Ste 1,
Wall Lake, IA 51466-7726
Ph: (712) 664-2418 |
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