Ebthal Alasal, NP - Medicare Nurse Practitioner in Kendallville, IN

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Ebthal Alasal, NP is a medicare enrolled "Nurse Practitioner - Family" in Kendallville, Indiana. Her current practice location is 2007 Cortland Ln, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 242-3242.

Ebthal Alasal is licensed to practice in Indiana (license number 28233679A) 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 1497429781.

Contact Information

Ebthal Alasal, NP
2007 Cortland Ln,
Kendallville, IN 46755-2875
(260) 242-3242
Not Available

Map and Direction




Provider's Profile

Full NameEbthal Alasal
GenderFemale
SpecialityNurse Practitioner - Family
Location2007 Cortland Ln, Kendallville, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497429781
  • Provider Enumeration Date: 08/02/2021
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517356173
  • Enrollment ID: I20211119001929

Medical Identifiers

Medical identifiers for Ebthal Alasal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497429781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 28233679A (Indiana)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. Ebthal Alasal allows following entities to bill medicare on her behalf.
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491
Entity NameConsonant Healing Associates Of De Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669099321
PECOS PAC ID: 2466871694
Enrollment ID: O20210325000520
Entity NameRp Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427790500
PECOS PAC ID: 0941696181
Enrollment ID: O20220415000307

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. Ebthal Alasal 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 AddressPractice Location Address
Ebthal Alasal, NP
401 N Sawyer Rd,
Kendallville, IN 46755-2568

Ph: (260) 347-8700		Ebthal Alasal, NP
2007 Cortland Ln,
Kendallville, IN 46755-2875

Ph: (260) 242-3242

Reviews and Comments


Nurse Practitioner Nurses in Kendallville, IN

Alissa Anglemyer, FNP-C
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Phone: 260-347-8030    Fax: 260-347-8035
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Medicare: Not Enrolled in Medicare
Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755
Phone: 260-347-8810    
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Takeyah Rosenthall, FNP
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Practice Location: 1732 W North St, Kendallville, IN 46755
Phone: 260-544-8054    
Laura K Silver,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 410 N Sawyer Rd, Kendallville, IN 46755
Phone: 260-425-6390    Fax: 260-425-6395

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.