Alexa Koon, PMHNP-BC in Phenix City, AL - Medicare Nurse Practitioner

Alexa Koon, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phenix City, Alabama. Her current practice location is 3700 S Railroad St, Phenix City, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 664-0463.

Alexa Koon is licensed to practice in Alabama (license number 1-189751) 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 1316542665.

Contact Information

	Alexa Koon, PMHNP-BC
	3700 S Railroad St, Phenix City, AL 36867-2993
	(334) 664-0463
	Not Available

Provider's Profile

Full Name	Alexa Koon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3700 S Railroad St, Phenix City, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316542665
Provider Enumeration Date: 12/03/2020
Last Update Date: 10/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6406224245
Enrollment ID: I20221129000188

Medical Identifiers

Medical identifiers for Alexa Koon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316542665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	11143439 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-189751 (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. Alexa Koon allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Enterprises Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447374640 PECOS PAC ID: 4486816048 Enrollment ID: O20120427000473

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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. Alexa Koon 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
Alexa Koon, PMHNP-BC 865 Lee Road 314, Smiths Station, AL 36877-3113 Ph: (315) 225-1760	Alexa Koon, PMHNP-BC 3700 S Railroad St, Phenix City, AL 36867-2993 Ph: (334) 664-0463

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Nurse Practitioner Nurses in Phenix City, AL

Janice Mcinnis, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Crawford Rd, Phenix City, AL 36867 Phone: 334-297-0251 Fax: 334-291-5478
Alicia Lynn Morris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 678 Lee Road 450, Phenix City, AL 36870 Phone: 706-332-2725
Miss Juanita Jones-harris, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575
Melissa Bailey, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Kittrell Dr, Phenix City, AL 36870 Phone: 706-536-0072
Mrs. Angela J White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575
Mrs. Jamie Danielle Oubre, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505
Courtney Sharpe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5295 Riverchase Dr Apt 1511, Phenix City, AL 36867 Phone: 706-442-3750

Alexa Koon, PMHNP-BC - Medicare Nurse Practitioner in Phenix City, AL

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Nurse Practitioner Nurses in Phenix City, AL