Alicia S Allen, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Alicia S Allen, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 12724 Gran Bay Pkwy W Ste 410, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 977-5098.

Alicia S Allen is licensed to practice in Florida (license number APRN9313083) 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 1265821052.

Contact Information

	Alicia S Allen, APRN
	12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486
	(904) 977-5098
	(904) 590-8738

Map and Direction

Provider's Profile

Full Name	Alicia S Allen
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12724 Gran Bay Pkwy W Ste 410, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265821052
Provider Enumeration Date: 01/15/2015
Last Update Date: 02/08/2025

Medicare PECOS Information:

PECOS PAC ID: 2163724923
Enrollment ID: I20160111001875

Medical Identifiers

Medical identifiers for Alicia S Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265821052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9313083 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9313083 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN9313083 (Florida)	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 S Allen allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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 S Allen 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 S Allen, APRN 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 Ph: (904) 977-5098	Alicia S Allen, APRN 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 Ph: (904) 977-5098

Reviews and Comments

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Alicia S Allen, APRN - Medicare Nurse Practitioner in Jacksonville, FL