Alyssa Marie Gentile, in Gilbert, AZ - Medicare Nurse Practitioner

Alyssa Marie Gentile, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gilbert, Arizona. Her current practice location is 1722 E Bruce Ave, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (630) 292-8101.

Alyssa Marie Gentile is licensed to practice in Arizona (license number 290382) 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 1144017310.

Contact Information

	Alyssa Marie Gentile,
	1722 E Bruce Ave, Gilbert, AZ 85234-6151
	(630) 292-8101
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyssa Marie Gentile
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1722 E Bruce Ave, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144017310
Provider Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6204353899
Enrollment ID: I20250507001467

Medical Identifiers

Medical identifiers for Alyssa Marie Gentile such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144017310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	290382 (Arizona)	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. Alyssa Marie Gentile allows following entities to bill medicare on her behalf.

Entity Name	Active Vital Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326825092 PECOS PAC ID: 3870942428 Enrollment ID: O20231208000557

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. Alyssa Marie Gentile 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
Alyssa Marie Gentile, 1722 E Bruce Ave, Gilbert, AZ 85234-6151 Ph: (630) 292-8101	Alyssa Marie Gentile, 1722 E Bruce Ave, Gilbert, AZ 85234-6151 Ph: (630) 292-8101

Reviews and Comments

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Alyssa Marie Gentile, - Medicare Nurse Practitioner in Gilbert, AZ