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 10 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 | 10 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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