Dr Alicia Self, DNP-FNP-C - Medicare Nurse Practitioner in Lakeland, FL

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Dr Alicia Self, DNP-FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lakeland, Florida. Her current practice location is 211 E Main St # 435, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 595-6909.

Dr Alicia Self is licensed to practice in Florida (license number APRN11002709) 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 1154885804.

Contact Information

Dr Alicia Self, DNP-FNP-C
211 E Main St # 435,
Lakeland, FL 33801-4628
(863) 595-6909
Not Available

Map and Direction




Provider's Profile

Full NameDr Alicia Self
GenderFemale
SpecialityNurse Practitioner - Family
Location211 E Main St # 435, Lakeland, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154885804
  • Provider Enumeration Date: 01/28/2019
  • Last Update Date: 05/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1153743927
  • Enrollment ID: I20200624001934

Medical Identifiers

Medical identifiers for Dr Alicia Self such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154885804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner C-APN.0102110-C-NP (Colorado)Secondary
363L00000XNurse Practitioner 308247 (Arizona)Secondary
363LF0000XNurse Practitioner - Family APRN11002709 (Florida)Primary
163W00000XRegistered Nurse RN9655562 (Florida)Secondary

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. Dr Alicia Self allows following entities to bill medicare on her behalf.
Entity NameOpenloop Healthcare Partners PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245820661
PECOS PAC ID: 2668871898
Enrollment ID: O20210830000934

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. Dr Alicia Self 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
Dr Alicia Self, DNP-FNP-C
Po Box 971,
Kathleen, FL 33849-0971

Ph: (863) 944-6977		Dr Alicia Self, DNP-FNP-C
211 E Main St # 435,
Lakeland, FL 33801-4628

Ph: (863) 595-6909

Reviews and Comments


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Adelene Soto, ARNP
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Ana Lymaries Velez, ARNP
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Jennifer Glisson Frasier, APRN
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Courtney Ann Wight, APRN
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Phone: 813-701-5804    Fax: 813-291-7615
Andrea Beale, A.R.N.P.
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Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-284-5020    Fax: 384-284-5387
Mr. Tami Lynn Hower, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-687-1321    Fax: 863-603-6534

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.