Allison Drew Dezarn, APRN is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" in Hazard, Kentucky. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kentucky Mountain Health Alliance, Inc. and her current practice location is
279 E Main St, Hazard, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 487-9505.
Allison Drew Dezarn is licensed to practice in Kentucky (license number 3010409) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083066591.
Provider's Profile
| Full Name | Allison Drew Dezarn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 279 E Main St, Hazard, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Allison Drew Dezarn graduated from nursing school in 2016
NPI Data:
- NPI Number: 1083066591
- Provider Enumeration Date: 07/08/2016
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527352186
- Enrollment ID: I20160804002646
Medical Identifiers
Medical identifiers for Allison Drew Dezarn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083066591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 3010409 (Kentucky) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 3010409 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kentucky Mountain Health Alliance, Inc. | 8123112687 | 24 |
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. Allison Drew Dezarn allows following entities to bill medicare on her behalf.
| Entity Name | Kentucky Mountain Health Alliance, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407043979
PECOS PAC ID: 8123112687
Enrollment ID: O20140605001605 |
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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. Allison Drew Dezarn 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 |
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Allison Drew Dezarn, APRN
279 E Main St,
Hazard, KY 41701-1973
Ph: (606) 487-9505 | Allison Drew Dezarn, APRN
279 E Main St,
Hazard, KY 41701-1973
Ph: (606) 487-9505 |
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