Alyssa Vibbard, LISW is a medicare enrolled "Social Worker - Clinical" provider in Ankeny, Iowa. Her current practice location is
1105 N Ankeny Blvd Ste 100, Ankeny, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 255-8399.
Alyssa Vibbard is licensed to practice in Iowa (license number 087466) 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 1104264530.
Healthcare Provider's Profile
| Full Name | Alyssa Vibbard |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1105 N Ankeny Blvd Ste 100, Ankeny, Iowa |
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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: 1104264530
- Provider Enumeration Date: 06/07/2013
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486182193
- Enrollment ID: I20250108004006
Medical Identifiers
Medical identifiers for Alyssa Vibbard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104264530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 087466 (Iowa) | 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. Alyssa Vibbard allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatric Associates Of Iowa, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568121457
PECOS PAC ID: 9638550544
Enrollment ID: O20220722001283 |
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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. Alyssa Vibbard 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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Alyssa Vibbard, LISW
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 628-9566 | Alyssa Vibbard, LISW
1105 N Ankeny Blvd Ste 100,
Ankeny, IA 50023-4003
Ph: (515) 255-8399 |
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