Alicia A Ebersole, PT is a medicare enrolled "Physical Therapist" provider in Nunda, New York. Her current practice location is
25 West St, Nunda, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 468-2020.
Alicia A Ebersole is licensed to practice in New York (license number 022762) 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 1568736551.
Healthcare Provider's Profile
| Full Name | Alicia A Ebersole |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 25 West St, Nunda, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568736551
- Provider Enumeration Date: 03/08/2012
- Last Update Date: 06/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 5092114553
- Enrollment ID: I20210604000750
Medical Identifiers
Medical identifiers for Alicia A Ebersole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568736551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 022762 (New York) | 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. Alicia A Ebersole allows following entities to bill medicare on her behalf.
| Provider Name | Nunda Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1255952099
PECOS PAC ID: 4183023641
Enrollment ID: O20210603001061 |
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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. Alicia A Ebersole 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 |
|---|
Alicia A Ebersole, PT
Po Box 613,
Nunda, NY 14517-0613
Ph: (585) 519-5050 | Alicia A Ebersole, PT
25 West St,
Nunda, NY 14517-9685
Ph: (585) 468-2020 |
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