Maddie Shea Alexander, is a medicare enrolled "Nurse Practitioner - Family" in Nauvoo, Alabama. Her current practice location is
156 3rd Ave, Nauvoo, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 686-5113.
Maddie Shea Alexander is licensed to practice in Alabama (license number 1-150600) 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 1417692336.
Provider's Profile
| Full Name | Maddie Shea Alexander |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 156 3rd Ave, Nauvoo, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417692336
- Provider Enumeration Date: 05/04/2022
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163804055
- Enrollment ID: I20220809003415
Medical Identifiers
Medical identifiers for Maddie Shea Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417692336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 1-150600 (Alabama) | 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. Maddie Shea Alexander allows following entities to bill medicare on her behalf.
| Entity Name | Capstone Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821043837 PECOS PAC ID: 7719990316 Enrollment ID: O20060831000248 |
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| Entity Name | Divine Family Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518581248 PECOS PAC ID: 0244657658 Enrollment ID: O20200831003234 |
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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. Maddie Shea Alexander 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 |
Maddie Shea Alexander, Po Box 169, Parrish, AL 35580-0169 Ph: (205) 686-5113 | Maddie Shea Alexander, 156 3rd Ave, Nauvoo, AL 35578-3238 Ph: (205) 686-5113 |
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