Alex Villavicencio, NP-C in Fort Wayne, IN - Medicare Nurse Practitioner

Alex Villavicencio, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fort Wayne Orthopaedics, Llc, Fort Wayne Orthopaedics, Llc and his current practice location is 7601 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 436-8686.

Alex Villavicencio is licensed to practice in Indiana (license number 71007374A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053836882.

Contact Information

	Alex Villavicencio, NP-C
	7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133
	(260) 436-8686
	(260) 436-8585

Map and Direction

Provider's Profile

Full Name	Alex Villavicencio
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	7601 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alex Villavicencio graduated from nursing school in 2017

NPI Data:

NPI Number: 1053836882
Provider Enumeration Date: 08/14/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2062784994
Enrollment ID: I20170828000670

Medical Identifiers

Medical identifiers for Alex Villavicencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053836882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71007374A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Orthopaedic Hospital Of Lutheran Health Networ	Fort wayne, IN	Hospital
Parkview Noble Hospital	Kendallville, IN	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Cameron Memorial Community Hospital Inc	Angola, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Wayne Orthopaedics, Llc	7618965286	57
Fort Wayne Orthopaedics, Llc	7618965286	57

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. Alex Villavicencio allows following entities to bill medicare on his behalf.

Entity Name	Fort Wayne Orthopaedics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497758429 PECOS PAC ID: 7618965286 Enrollment ID: O20040503001253

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. Alex Villavicencio 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
Alex Villavicencio, NP-C 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686	Alex Villavicencio, NP-C 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 Ph: (260) 436-8686

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Alex Villavicencio, NP-C - Medicare Nurse Practitioner in Fort Wayne, IN