Alisha Fangmeyer, APRN is a medicare enrolled "Nurse Practitioner - Family" in Superior, Nebraska. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brodstone Memorial Hospital and her current practice location is
525 E 11th St, Superior, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 879-4781.
Alisha Fangmeyer is licensed to practice in Nebraska (license number 1876) 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 1568756609.
Provider's Profile
| Full Name | Alisha Fangmeyer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 525 E 11th St, Superior, Nebraska |
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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:
- Alisha Fangmeyer graduated from nursing school in 2011
NPI Data:
- NPI Number: 1568756609
- Provider Enumeration Date: 06/07/2011
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 3476721390
- Enrollment ID: I20110720000653
Medical Identifiers
Medical identifiers for Alisha Fangmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568756609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1876 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brodstone Memorial Hospital | 4082513015 | 10 |
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. Alisha Fangmeyer allows following entities to bill medicare on her behalf.
| Entity Name | Brodstone Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073590626
PECOS PAC ID: 4082513015
Enrollment ID: O20040423000949 |
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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. Alisha Fangmeyer 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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Alisha Fangmeyer, APRN
Po Box 407,
Superior, NE 68978-0407
Ph: (402) 879-4781 | Alisha Fangmeyer, APRN
525 E 11th St,
Superior, NE 68978-1101
Ph: (402) 879-4781 |
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