Austin Lively, MD in Fort Payne, AL

Austin Lively, MD is a medicare enrolled "Pediatrics" physician in Fort Payne, Alabama. His current practice location is 1359 Old Water Works Rd Sw, Fort Payne, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 997-5900.

Austin Lively is licensed to practice in Alabama (license number 37983) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871976639.

Contact Information

	Austin Lively, MD
	1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347
	(256) 997-5900
	(888) 977-1691

Map and Direction

Physician's Profile

Full Name	Austin Lively
Gender	Male
Speciality	Pediatrics
Location	1359 Old Water Works Rd Sw, Fort Payne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871976639
Provider Enumeration Date: 06/29/2015
Last Update Date: 08/05/2019

Medicare PECOS Information:

PECOS PAC ID: 2668722174
Enrollment ID: I20180904002835

Medical Identifiers

Medical identifiers for Austin Lively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871976639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	080335 (Georgia)	Secondary
208000000X	Pediatrics	7481 (Georgia)	Secondary
208000000X	Pediatrics	37983 (Alabama)	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. Austin Lively allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

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. Austin Lively 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
Austin Lively, MD 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 Ph: (256) 997-5900	Austin Lively, MD 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 Ph: (256) 997-5900

Reviews and Comments

Pediatrics Doctors in Fort Payne, AL

Robert Mike Story, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9546
Dr. Frine T Roca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Grand Ave Nw, Ste B, Fort Payne, AL 35967 Phone: 256-979-1515 Fax: 256-979-1517
Angela E Chaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9546
David Allen Atchley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9759

Austin Lively, MD - Medicare Pediatrics in Fort Payne, AL