Alexa Sughroue, MD - Medicare Student in an Organized Health Care Education/Training Program in Jacksonville, FL

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Alexa Sughroue, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jacksonville, Florida. Her current practice location is 653-1 W 8th Street, 4th Floor, Lrc Box L15, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-3817.

Alexa Sughroue is licensed to practice in * (Not Available) (license number ) 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 1720665458.

Contact Information

Alexa Sughroue, MD
653-1 W 8th Street, 4th Floor, Lrc Box L15,
Jacksonville, FL 32209
(904) 244-3817
Not Available

Map and Direction




Physician's Profile

Full NameAlexa Sughroue
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location653-1 W 8th Street, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720665458
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 06/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163825910
  • Enrollment ID: I20240611001360

Medical Identifiers

Medical identifiers for Alexa Sughroue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720665458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036169282 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Alexa Sughroue allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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. Alexa Sughroue 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
Alexa Sughroue, MD
653-1 W 8th St Fl 4,
Jacksonville, FL 32209-6511

Ph: (904) 244-3817		Alexa Sughroue, MD
653-1 W 8th Street, 4th Floor, Lrc Box L15,
Jacksonville, FL 32209

Ph: (904) 244-3817

Reviews and Comments



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.