Alisa Willoughby, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ethel, Louisiana. Her current practice location is
8719 Battle Rd, Ethel, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 205-9473.
Alisa Willoughby is licensed to practice in Louisiana (license number 230786) 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 1316625585.
Provider's Profile
Full Name | Alisa Willoughby |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8719 Battle Rd, Ethel, Louisiana |
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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: 1316625585
- Provider Enumeration Date: 07/07/2023
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062876352
- Enrollment ID: I20230920000720
Medical Identifiers
Medical identifiers for Alisa Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316625585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 230786 (Louisiana) | 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. Alisa Willoughby allows following entities to bill medicare on her behalf.
Entity Name | Senior Psychcare Of Louisiana, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821749789 PECOS PAC ID: 0648651539 Enrollment ID: O20220725000773 |
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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. Alisa Willoughby 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 |
Alisa Willoughby, 8719 Battle Rd, Ethel, LA 70730-4007 Ph: (225) 205-9473 | Alisa Willoughby, 8719 Battle Rd, Ethel, LA 70730-4007 Ph: (225) 205-9473 |
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