Alisa Fussell, in Burgaw, NC - Medicare Speech-Language Pathologist Provider

Alisa Fussell, is a medicare enrolled "Speech-language Pathologist" provider in Burgaw, North Carolina. Her current practice location is 10131 Highway 53 W, Burgaw, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 471-0111.

Alisa Fussell is licensed to practice in North Carolina (license number 11983) 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 1578004800.

Contact Information

	Alisa Fussell,
	10131 Highway 53 W, Burgaw, NC 28425
	(910) 471-0111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alisa Fussell
Gender	Female
Speciality	Speech-language Pathologist
Location	10131 Highway 53 W, Burgaw, 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: 1578004800
Provider Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 4183955362
Enrollment ID: I20191021000796

Medical Identifiers

Medical identifiers for Alisa Fussell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578004800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	11983 (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. Alisa Fussell allows following entities to bill medicare on her behalf.

Provider Name	Coastal Speech Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658

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. Alisa Fussell 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
Alisa Fussell, 10131 Hwy 53 W, Burgaw, NC 28425 Ph: (910) 471-0111	Alisa Fussell, 10131 Highway 53 W, Burgaw, NC 28425 Ph: (910) 471-0111

Reviews and Comments

Speech-Language Pathologist in Burgaw, NC

Linzy Tansey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 S Campbell St, Burgaw, NC 28425 Phone: 910-259-6007
Megan Lydon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 E Fremont St, Burgaw, NC 28425 Phone: 910-300-4144 Fax: 910-892-0029
Courtney L Gibbs, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 126 W Fremont St, Burgaw, NC 28425 Phone: 910-663-5450 Fax: 844-803-6048
Alice Lippman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 311 S Campbell St, Burgaw, NC 28425 Phone: 910-259-6007
Mrs. Kellie Savard, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 213 South Wright Street, Unit B, Burgaw, NC 28425 Phone: 910-300-6150 Fax: 844-803-6048
Ms. Roxanne Harrell Vivlamore, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2171 Malpass Corner Rd, Burgaw, NC 28425 Phone: 910-352-0081

Alisa Fussell, - Medicare Speech-Language Pathologist in Burgaw, NC