Mrs Alyssa M Mellencamp, NP in Hebron, KY - Medicare Nurse Practitioner

Mrs Alyssa M Mellencamp, NP is a medicare enrolled "Nurse Practitioner - Family" in Hebron, Kentucky. Her current practice location is 3105 N Bend Rd, Hebron, Kentucky. You can reach out to her office (for appointments etc.) via phone at (615) 425-4201.

Mrs Alyssa M Mellencamp is licensed to practice in Kentucky (license number 3017660) 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 1225552326.

Contact Information

	Mrs Alyssa M Mellencamp, NP
	3105 N Bend Rd, Hebron, KY 41048-8523
	(615) 425-4201
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alyssa M Mellencamp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3105 N Bend Rd, Hebron, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225552326
Provider Enumeration Date: 07/31/2017
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8729353644
Enrollment ID: I20220602001530

Medical Identifiers

Medical identifiers for Mrs Alyssa M Mellencamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225552326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0031263 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	71007434A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	3017660 (Kentucky)	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. Mrs Alyssa M Mellencamp allows following entities to bill medicare on her behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031119000023

Entity Name	Kiosk Medicine Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127

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. Mrs Alyssa M Mellencamp 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
Mrs Alyssa M Mellencamp, NP 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Mrs Alyssa M Mellencamp, NP 3105 N Bend Rd, Hebron, KY 41048-8523 Ph: (615) 425-4201

Reviews and Comments

Nurse Practitioner Nurses in Hebron, KY

Mrs. Deborah L Voet, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Litton Ln, Hebron, KY 41048 Phone: 859-334-8700 Fax: 859-334-8707
Brandy Sullivan Branham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2091 N Bend Rd, Hebron, KY 41048 Phone: 859-541-2421
Mrs. Lindsey Pernell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3750 N Bend Rd, Hebron, KY 41048 Phone: 859-838-1257
Farduwsa Hassan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2940 Hebron Park Dr Ste 101, Hebron, KY 41048 Phone: 404-934-0150
Ms. Elizabeth Ann Tolliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Conner Rd, Hebron, KY 41048 Phone: 859-301-2574 Fax: 859-301-2997
Mrs. Jodi Linn Keith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 N Bend Rd, Hebron, KY 41048 Phone: 859-962-4922

Mrs Alyssa M Mellencamp, NP - Medicare Nurse Practitioner in Hebron, KY