Alisa D Cupp, APRN-CNP in Fort Worth, TX - Medicare Nurse Practitioner

Alisa D Cupp, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 9509 N Beach St Ste 102, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 396-7271.

Alisa D Cupp is licensed to practice in Texas (license number 1056561) 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 1225786932.

Contact Information

	Alisa D Cupp, APRN-CNP
	9509 N Beach St Ste 102, Fort Worth, TX 76244-6399
	(817) 396-7271
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisa D Cupp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9509 N Beach St Ste 102, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225786932
Provider Enumeration Date: 03/11/2022
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2860919974
Enrollment ID: I20250512001495

Medical Identifiers

Medical identifiers for Alisa D Cupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225786932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1056561 (Texas)	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. Alisa D Cupp allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Of Lubbock, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831569540 PECOS PAC ID: 6002710860 Enrollment ID: O20180731002269

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. Alisa D Cupp 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
Alisa D Cupp, APRN-CNP 7012 Greenspoint Dr, Arlington, TX 76001-6780 Ph: (806) 220-6141	Alisa D Cupp, APRN-CNP 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 Ph: (817) 396-7271

Reviews and Comments

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Alisa D Cupp, APRN-CNP - Medicare Nurse Practitioner in Fort Worth, TX