Alexcia Dawn Pennell, CNM, FNP-C is a medicare enrolled "Advanced Practice Midwife" in Crestview, Florida. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice North Okaloosa Clinic Corp and her current practice location is
550 Redstone Ave W, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 689-2229.
Alexcia Dawn Pennell is licensed to practice in Florida (license number APRN11021829) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407249691.
Provider's Profile
| Full Name | Alexcia Dawn Pennell |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 3 Years |
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| Location | 550 Redstone Ave W, Crestview, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexcia Dawn Pennell graduated from nursing school in 2021
NPI Data:
- NPI Number: 1407249691
- Provider Enumeration Date: 03/11/2015
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315265816
- Enrollment ID: I20230103000099
Medical Identifiers
Medical identifiers for Alexcia Dawn Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407249691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN11021829 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN11021829 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Okaloosa Clinic Corp | 0244205565 | 13 |
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. Alexcia Dawn Pennell allows following entities to bill medicare on her behalf.
| Entity Name | North Okaloosa Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659329852
PECOS PAC ID: 0244205565
Enrollment ID: O20040831000576 |
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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. Alexcia Dawn Pennell 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 |
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Alexcia Dawn Pennell, CNM, FNP-C
550 Redstone Ave W Ste 470,
Crestview, FL 32536-6457
Ph: (850) 689-2229 | Alexcia Dawn Pennell, CNM, FNP-C
550 Redstone Ave W,
Crestview, FL 32536-6428
Ph: (850) 689-2229 |
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