Alison Hietala, NP is a medicare enrolled "Nurse Practitioner - Family" in Phillipston, Massachusetts. Her current practice location is
20 Powers Mill Rd, Phillipston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 895-6707.
Alison Hietala is licensed to practice in Massachusetts (license number RN2324987) 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 1104534536.
Provider's Profile
Full Name | Alison Hietala |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 20 Powers Mill Rd, Phillipston, Massachusetts |
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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: 1104534536
- Provider Enumeration Date: 11/15/2022
- Last Update Date: 02/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597288803
- Enrollment ID: I20250327001898
Medical Identifiers
Medical identifiers for Alison Hietala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104534536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | RN2324987 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN2324987 (Massachusetts) | 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. Alison Hietala allows following entities to bill medicare on her behalf.
Entity Name | Mountain View Family Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639409428 PECOS PAC ID: 5092844340 Enrollment ID: O20100525000209 |
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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. Alison Hietala 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 |
Alison Hietala, NP 20 Powers Mill Rd, Phillipston, MA 01331-9700 Ph: () - | Alison Hietala, NP 20 Powers Mill Rd, Phillipston, MA 01331-9700 Ph: (978) 895-6707 |
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