Ms Alice Jacqueline Haskins, FNP-BC in Atlanta, GA

Ms Alice Jacqueline Haskins, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 677 Cascade Ave Sw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 444-3143.

Ms Alice Jacqueline Haskins is licensed to practice in Georgia (license number 286041) 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 1194042036.

Contact Information

	Ms Alice Jacqueline Haskins, FNP-BC
	677 Cascade Ave Sw, Atlanta, GA 30310-2404
	(470) 444-3143
	(470) 467-7469

Map and Direction

Provider's Profile

Full Name	Ms Alice Jacqueline Haskins
Gender	Female
Speciality	Nurse Practitioner - Family
Location	677 Cascade Ave Sw, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194042036
Provider Enumeration Date: 05/03/2010
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0143577346
Enrollment ID: I20180719000287

Medical Identifiers

Medical identifiers for Ms Alice Jacqueline Haskins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194042036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5010499 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	286041 (Georgia)	Primary
163WA2000X	Registered Nurse - Administrator	234600 (North Carolina)	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. Ms Alice Jacqueline Haskins allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Minuteclinic Diagnostic Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719

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. Ms Alice Jacqueline Haskins 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
Ms Alice Jacqueline Haskins, FNP-BC Po Box 746063, Atlanta, GA 30374-6063 Ph: (312) 733-9730	Ms Alice Jacqueline Haskins, FNP-BC 677 Cascade Ave Sw, Atlanta, GA 30310-2404 Ph: (470) 444-3143

Reviews and Comments

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Ms Alice Jacqueline Haskins, FNP-BC - Medicare Nurse Practitioner in Atlanta, GA