Amy Fay Alliston, RN, IBCLC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bahama, North Carolina. Her current practice location is
11507 S Lowell Rd, Bahama, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(434) 808-9453.
Amy Fay Alliston is licensed to practice in Virginia (license number 0024186591) 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 1972126142.
Provider's Profile
Full Name | Amy Fay Alliston |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 11507 S Lowell Rd, Bahama, North Carolina |
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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: 1972126142
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658736178
- Enrollment ID: I20230504002639
Medical Identifiers
Medical identifiers for Amy Fay Alliston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972126142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186591 (Virginia) | Primary |
163WL0100X | Registered Nurse - Lactation Consultant | L-88133 (Virginia) | Secondary |
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. Amy Fay Alliston allows following entities to bill medicare on her behalf.
Entity Name | Comprehensive Rehab Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710529771 PECOS PAC ID: 6800220682 Enrollment ID: O20220120001934 |
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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. Amy Fay Alliston 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 |
Amy Fay Alliston, RN, IBCLC 308b S Main St Ste 221, Farmville, VA 23901-1744 Ph: (434) 808-9453 | Amy Fay Alliston, RN, IBCLC 11507 S Lowell Rd, Bahama, NC 27503-8778 Ph: (434) 808-9453 |
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