Alix Detullio, APN - Medicare Clinical Nurse Specialist in Freehold, NJ

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Alix Detullio, APN is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Freehold, New Jersey. Her current practice location is 901 W Main St, Freehold, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 431-0023.

Alix Detullio is licensed to practice in New Jersey (license number 26NJ00532200) 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 1043618747.

Contact Information

Alix Detullio, APN
901 W Main St,
Freehold, NJ 07728-2537
(732) 431-0023
Not Available

Map and Direction




Provider's Profile

Full NameAlix Detullio
GenderFemale
SpecialityClinical Nurse Specialist - Acute Care
Location901 W Main St, Freehold, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043618747
  • Provider Enumeration Date: 12/11/2014
  • Last Update Date: 12/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5799090304
  • Enrollment ID: I20150811005576

Medical Identifiers

Medical identifiers for Alix Detullio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043618747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2100XClinical Nurse Specialist - Acute Care 26NJ00532200 (New Jersey)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. Alix Detullio allows following entities to bill medicare on her behalf.
Entity NameFreehold Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831231463
PECOS PAC ID: 4486754223
Enrollment ID: O20070710000428

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. Alix Detullio 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 AddressPractice Location Address
Alix Detullio, APN
4255 Route 9 N, Suite B,
Freehold, NJ 07728-8305

Ph: (732) 431-0023		Alix Detullio, APN
901 W Main St,
Freehold, NJ 07728-2537

Ph: (732) 431-0023

Reviews and Comments


Clinical Nurse Specialist Nurses in Freehold, NJ

Judy Nissi Shvarzblat, APN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 312 Professional View Dr, Building 300 Seccond Floor, Freehold, NJ 07728
Phone: 732-431-1616    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.