Alyssa Ann Fairchild, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in O Fallon, Missouri. Her current practice location is
300 Winding Woods Dr Ste 120, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 978-7902.
Alyssa Ann Fairchild is licensed to practice in Missouri (license number 2016020031) 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 1720610355.
Physician's Profile
Full Name | Alyssa Ann Fairchild |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 300 Winding Woods Dr Ste 120, O Fallon, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720610355
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971900416
- Enrollment ID: I20210924002714
Medical Identifiers
Medical identifiers for Alyssa Ann Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720610355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2020004281 (Missouri) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 2016020031 (Missouri) | 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 Ann Fairchild allows following entities to bill medicare on her behalf.
Entity Name | Ssm Cardinal Glennon Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
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Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
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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 Ann Fairchild 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 |
Alyssa Ann Fairchild, CPNP-PC Po Box 776084, Chicago, IL 60677-6084 Ph: (369) 787-9026 | Alyssa Ann Fairchild, CPNP-PC 300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772 Ph: (636) 978-7902 |
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