Alexandra Pulaski Herndon, - Medicare Nurse Practitioner in Fayetteville, NC

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Alexandra Pulaski Herndon, is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. Her current practice location is 101 Robeson St Ste 200, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 615-1860.

Alexandra Pulaski Herndon is licensed to practice in Georgia (license number F01240808) 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 1841052073.

Contact Information

Alexandra Pulaski Herndon,
101 Robeson St Ste 200,
Fayetteville, NC 28301-5520
(910) 615-1860
(910) 615-9630

Map and Direction




Provider's Profile

Full NameAlexandra Pulaski Herndon
GenderFemale
SpecialityNurse Practitioner - Family
Location101 Robeson St Ste 200, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841052073
  • Provider Enumeration Date: 01/24/2024
  • Last Update Date: 04/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325571086
  • Enrollment ID: I20241101003237

Medical Identifiers

Medical identifiers for Alexandra Pulaski Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841052073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F01240808 (Georgia)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. Alexandra Pulaski Herndon allows following entities to bill medicare on her behalf.
Entity NameUrgent Care Of Berwick Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083018485
PECOS PAC ID: 4789900051
Enrollment ID: O20150303002480
Entity NameSkidaway Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164188413
PECOS PAC ID: 3173915527
Enrollment ID: O20220118000620

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. Alexandra Pulaski Herndon 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
Alexandra Pulaski Herndon,
131 Brisbon Hall Dr,
Richmond Hill, GA 31324-8833

Ph: (912) 656-3628		Alexandra Pulaski Herndon,
101 Robeson St Ste 200,
Fayetteville, NC 28301-5520

Ph: (910) 615-1860

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NC

Heather Mcphail Maynor, NP
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Phone: 910-615-5680    
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Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5490    
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Dr. Adrian Nicole Lennon, PSYCHIATRIC NP
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Medicare: Accepting Medicare Assignments
Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304
Phone: 910-672-6432    Fax: 910-745-7907
Shelley Barry Follett, NP-C
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Cheryl Nicole Fisher, FNP, PMHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-4000    
Demetria Ward-richardson, MSN, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1601 Owen Dr, Fayetteville, NC 28304
Phone: 910-678-0100    

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.