Alyza Sarah Sunny, FNP-C in Southlake, TX - Medicare Nurse Practitioner

Alyza Sarah Sunny, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southlake, Texas. Her current practice location is 855 Davis Blvd Ste 500, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 648-8191.

Alyza Sarah Sunny is licensed to practice in Texas (license number 1036721) 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 1831869031.

Contact Information

	Alyza Sarah Sunny, FNP-C
	855 Davis Blvd Ste 500, Southlake, TX 76092-8218
	(940) 648-8191
	Not Available

Map and Direction

Provider's Profile

Full Name	Alyza Sarah Sunny
Gender	Female
Speciality	Nurse Practitioner - Family
Location	855 Davis Blvd Ste 500, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831869031
Provider Enumeration Date: 09/18/2021
Last Update Date: 09/18/2021

Medicare PECOS Information:

PECOS PAC ID: 5294133625
Enrollment ID: I20211014002714

Medical Identifiers

Medical identifiers for Alyza Sarah Sunny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831869031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1036721 (Texas)	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. Alyza Sarah Sunny allows following entities to bill medicare on her behalf.

Entity Name	Modern Medical House Calls Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043635931 PECOS PAC ID: 5092932921 Enrollment ID: O20140815001827

Entity Name	Careconnectmd Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043846132 PECOS PAC ID: 2163801754 Enrollment ID: O20220628002987

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. Alyza Sarah Sunny 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
Alyza Sarah Sunny, FNP-C 7514 Harbor Dr, Rowlett, TX 75088-5328 Ph: () -	Alyza Sarah Sunny, FNP-C 855 Davis Blvd Ste 500, Southlake, TX 76092-8218 Ph: (940) 648-8191

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775

Alyza Sarah Sunny, FNP-C - Medicare Nurse Practitioner in Southlake, TX