Rebecca Dianna Worsham, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Laceys Spring, Alabama. Her current practice location is
4258 Highway 231 Ste 5, Laceys Spring, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 498-5770.
Rebecca Dianna Worsham is licensed to practice in Alabama (license number 1-057030) 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 1962564203.
Provider's Profile
Full Name | Rebecca Dianna Worsham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4258 Highway 231 Ste 5, Laceys Spring, Alabama |
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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: 1962564203
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991863128
- Enrollment ID: I20081016000505
Medical Identifiers
Medical identifiers for Rebecca Dianna Worsham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962564203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-057030 (Alabama) | 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. Rebecca Dianna Worsham allows following entities to bill medicare on her behalf.
Entity Name | Vivian N Hannon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841460375 PECOS PAC ID: 6002879913 Enrollment ID: O20041110001067 |
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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. Rebecca Dianna Worsham 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 |
Rebecca Dianna Worsham, CRNP 4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444 Ph: (256) 498-5770 | Rebecca Dianna Worsham, CRNP 4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444 Ph: (256) 498-5770 |
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