Mrs Alisa Rochelle Craddock, FNP-C in Clinton, NC

Mrs Alisa Rochelle Craddock, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clinton, North Carolina. Her current practice location is 906 N Us Highway 421, Clinton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 592-1462.

Mrs Alisa Rochelle Craddock is licensed to practice in North Carolina (license number F02241056) 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 1679895296.

Contact Information

	Mrs Alisa Rochelle Craddock, FNP-C
	906 N Us Highway 421, Clinton, NC 28328-0410
	(910) 592-1462
	(910) 808-1040

Map and Direction

Provider's Profile

Full Name	Mrs Alisa Rochelle Craddock
Gender	Female
Speciality	Nurse Practitioner - Family
Location	906 N Us Highway 421, Clinton, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679895296
Provider Enumeration Date: 02/23/2010
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 9032644588
Enrollment ID: I20241121001147

Medical Identifiers

Medical identifiers for Mrs Alisa Rochelle Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679895296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	178364 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	F02241056 (North Carolina)	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. Mrs Alisa Rochelle Craddock allows following entities to bill medicare on her behalf.

Entity Name	Goshen Medical Center, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726

Entity Name	Geriatric Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801478086 PECOS PAC ID: 5294132387 Enrollment ID: O20210915003266

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 Alisa Rochelle Craddock 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
Mrs Alisa Rochelle Craddock, FNP-C Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-2042	Mrs Alisa Rochelle Craddock, FNP-C 906 N Us Highway 421, Clinton, NC 28328-0410 Ph: (910) 592-1462

Reviews and Comments

Nurse Practitioner Nurses in Clinton, NC

Hayley Brott, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-6011
Jeffrey Wayne Autry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Beamon St., Clinton, NC 28328 Phone: 910-592-9113 Fax: 910-590-0050
Sharry Jackson Malpass, DNP, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Jill Anne Breton, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 County Complex Rd Ste 200, Clinton, NC 28328 Phone: 910-592-1131 Fax: 910-592-4724
Jamie Alysse Weiner, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011
Mrs. Lauren Elaine Aves, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Mrs. Tara Lynn Marr-carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811

Mrs Alisa Rochelle Craddock, FNP-C - Medicare Nurse Practitioner in Clinton, NC