Alicia Lyn Soucy, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wallagrass, Maine. Her current practice location is
45 Church St, Wallagrass, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 231-0037.
Alicia Lyn Soucy is licensed to practice in Maine (license number CNP191268) 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 1003459231.
Provider's Profile
| Full Name | Alicia Lyn Soucy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 45 Church St, Wallagrass, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003459231
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183057607
- Enrollment ID: I20191213000639
Medical Identifiers
Medical identifiers for Alicia Lyn Soucy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003459231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP191268 (Maine) | 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. Alicia Lyn Soucy allows following entities to bill medicare on her behalf.
| Entity Name | Northern Maine Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
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| Entity Name | Faspsych Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831682111 PECOS PAC ID: 2860818929 Enrollment ID: O20210217001741 |
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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. Alicia Lyn Soucy 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 |
Alicia Lyn Soucy, PMHNP 45 Church St, Wallagrass, ME 04781-3039 Ph: (207) 814-7980 | Alicia Lyn Soucy, PMHNP 45 Church St, Wallagrass, ME 04781-3039 Ph: (207) 231-0037 |
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