Mrs Alicia Marie Conn, FNP, PMHNP-BC - Medicare Nurse Practitioner in Waycross, GA

Mrs Alicia Marie Conn, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waycross, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Empower Wellness, Llc, Gateway Behavioral Health Services and her current practice location is 1610 Alice Street, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 584-3263.

Mrs Alicia Marie Conn is licensed to practice in Georgia (license number 000000) 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 1538604368.

Contact Information

Mrs Alicia Marie Conn, FNP, PMHNP-BC
1610 Alice Street,
Waycross, GA 31501-4533
(912) 584-3263
(912) 809-2296

Map and Direction




Provider's Profile

Full NameMrs Alicia Marie Conn
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1610 Alice Street, Waycross, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Alicia Marie Conn graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1538604368
  • Provider Enumeration Date: 01/03/2017
  • Last Update Date: 02/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648555730
  • Enrollment ID: I20170403001718

Medical Identifiers

Medical identifiers for Mrs Alicia Marie Conn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538604368NPI-NPPES
003254260AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN230326 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 000000 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Empower Wellness, Llc16587748072
Gateway Behavioral Health Services317351023729

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. Mrs Alicia Marie Conn allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639
Entity NameGateway Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558478214
PECOS PAC ID: 3173510237
Enrollment ID: O20040429000700
Entity NameHospital Authority Of Jeff Davis County Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912902263
PECOS PAC ID: 4981692472
Enrollment ID: O20040504000404
Entity NameEmpower Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386238723
PECOS PAC ID: 1658774807
Enrollment ID: O20210726001375

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. Mrs Alicia Marie Conn 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
Mrs Alicia Marie Conn, FNP, PMHNP-BC
1610 Alice Street,
Waycross, GA 31501-4533

Ph: (912) 584-3263
Mrs Alicia Marie Conn, FNP, PMHNP-BC
1610 Alice Street,
Waycross, GA 31501-4533

Ph: (912) 584-3263

Reviews and Comments


Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    Fax: 912-548-0071
Robert Scott Jacobs, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 403a Lister St, Waycross, GA 31501
Phone: 912-283-4422    Fax: 912-283-4866
Mr. James Aaron Houser, FNP-C
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Practice Location: 1206 Alice St, Waycross, GA 31501
Phone: 912-285-1140    Fax: 912-285-1125
Dawn Lynn Driggers, FNP
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Practice Location: 1710 1/2 Alice St, Waycross, GA 31501
Phone: 912-614-3768    
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Phone: 229-391-3500    
Ms. Andrea M Deloach, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 711 Knight Ave, Waycross, GA 31501
Phone: 912-283-9423    Fax: 912-283-2946
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC.
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Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    

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).

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