Alexandra Pulaski Herndon, in Fayetteville, NC

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 Name	Alexandra Pulaski Herndon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Robeson St Ste 200, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1841052073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse 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 Name	Urgent Care Of Berwick Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083018485 PECOS PAC ID: 4789900051 Enrollment ID: O20150303002480

Entity Name	Skidaway Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner 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 Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Nicole Fisher, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100
Judy Sasser Stanfield, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4600 Cumberland Rd, Fayetteville, NC 28306 Phone: 910-429-1690

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