Alicia Cleven, NP is a medicare enrolled "Nurse Practitioner" in Fennimore, Wisconsin. She went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Springtime Health And Wellness, Sc and her current practice location is
1380 13th St, Fennimore, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 732-4397.
Alicia Cleven is licensed to practice in Wisconsin (license number 11734-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750763603.
Provider's Profile
| Full Name | Alicia Cleven |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 1380 13th St, Fennimore, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alicia Cleven attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 2021
NPI Data:
- NPI Number: 1750763603
- Provider Enumeration Date: 06/26/2015
- Last Update Date: 02/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214315449
- Enrollment ID: I20220531002461
Medical Identifiers
Medical identifiers for Alicia Cleven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750763603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 168027-30 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 11734-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springtime Health And Wellness, Sc | 4688712953 | 2 |
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 Cleven allows following entities to bill medicare on her behalf.
| Entity Name | Springtime Health And Wellness, Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083947410
PECOS PAC ID: 4688712953
Enrollment ID: O20091105000554 |
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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 Cleven 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 |
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Alicia Cleven, NP
1380 13th St,
Fennimore, WI 53809-1910
Ph: (608) 732-4397 | Alicia Cleven, NP
1380 13th St,
Fennimore, WI 53809-1910
Ph: (608) 732-4397 |
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