Alicia Haisley, ANP in Fairburn, GA - Medicare Nurse Practitioner

Alicia Haisley, ANP is a medicare enrolled "Nurse Practitioner" in Fairburn, Georgia. Her current practice location is 504 Village Pt, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 275-4142.

Alicia Haisley is licensed to practice in Georgia (license number RN230695) 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 1942819545.

Contact Information

	Alicia Haisley, ANP
	504 Village Pt, Fairburn, GA 30213-5100
	(404) 275-4142
	Not Available

Provider's Profile

Full Name	Alicia Haisley
Gender	Female
Speciality	Nurse Practitioner
Location	504 Village Pt, Fairburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942819545
Provider Enumeration Date: 07/29/2020
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4082064522
Enrollment ID: I20231227000596

Medical Identifiers

Medical identifiers for Alicia Haisley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942819545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SF0001X	Clinical Nurse Specialist - Family Health	F07200719 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN230695 (Georgia)	Primary

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. Alicia Haisley 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
Alicia Haisley, ANP 50 S B B King Blvd # 100, Memphis, TN 38103-2626 Ph: (901) 436-1381	Alicia Haisley, ANP 504 Village Pt, Fairburn, GA 30213-5100 Ph: (404) 275-4142

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Nurse Practitioner Nurses in Fairburn, GA

Ms. Monica Smart Mills, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8315 Champion Trl, Fairburn, GA 30213 Phone: 770-892-7878
Mrs. Nicole Michelle Boone, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Fiddlers Rdg, Fairburn, GA 30213 Phone: 770-716-8781
Melanie Kline, FNP-BC, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3782 Oakman Pl, Fairburn, GA 30213 Phone: 860-836-7236
Ms. Felisha Nicole Tune, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2218 Jenny Dr, Fairburn, GA 30213 Phone: 252-639-0409
Ms. Jacquelyn Pressley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5185 Rosewood Pl, Fairburn, GA 30213 Phone: 770-990-2936
Nicolette Semple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 670 Breton Highlands, Fairburn, GA 30213 Phone: 347-844-2856
Miss Kenosha Latrice Tillman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5220 Rosewood Pl, Fairburn, GA 30213 Phone: 901-277-7086

Alicia Haisley, ANP - Medicare Nurse Practitioner in Fairburn, GA