Alisa Davidova, APN in Englishtown, NJ - Medicare Nurse Practitioner

Alisa Davidova, APN is a medicare enrolled "Nurse Practitioner" in Englishtown, New Jersey. Her current practice location is 55 Willow Ln Ste 201, Englishtown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 370-2220.

Alisa Davidova is licensed to practice in New Jersey (license number 26NJ01096100) 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 1639755457.

Contact Information

	Alisa Davidova, APN
	55 Willow Ln Ste 201, Englishtown, NJ 07726-8434
	(732) 370-2220
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisa Davidova
Gender	Female
Speciality	Nurse Practitioner
Location	55 Willow Ln Ste 201, Englishtown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639755457
Provider Enumeration Date: 03/22/2021
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1254792534
Enrollment ID: I20230802003943

Medical Identifiers

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

Identifier	Type	State	Issuer
1639755457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ01096100 (New Jersey)	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 Davidova allows following entities to bill medicare on her behalf.

Entity Name	Allied Digestive Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569

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 Davidova 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 Davidova, APN 187 Route 36 Ste 230, West Long Branch, NJ 07764-1306 Ph: (732) 222-3805	Alisa Davidova, APN 55 Willow Ln Ste 201, Englishtown, NJ 07726-8434 Ph: (732) 370-2220

Reviews and Comments

Nurse Practitioner Nurses in Englishtown, NJ

Lauren Cohn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Us Highway 9 Ste 5, Englishtown, NJ 07726 Phone: 732-334-6500
Ashley Christine Carreiro, MSN, APN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 County Road 520 Ste 104, Englishtown, NJ 07726 Phone: 732-972-0660 Fax: 732-972-1061
Ashli Cyriaano, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 74 Us Highway 9 Ste 7, Englishtown, NJ 07726 Phone: 732-702-1488
Tyra Lee, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Willow Ln, Englishtown, NJ 07726 Phone: 732-612-9833
Gulrukh Julia Kamalova, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 S Main St, Englishtown, NJ 07726 Phone: 201-668-0083

Alisa Davidova, APN - Medicare Nurse Practitioner in Englishtown, NJ