MRS. MARIE ALEXANDER MS, MSPAS, PA
NPI 1063984607
Physician Assistant - Surgical in New Orleans, LA

NPI Status: Active since December 20, 2018

Contact Information

1415 TULANE AVE FL 5
NEW ORLEANS, LA
ZIP 70112
Phone: (504) 988-5561

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  • Individual
  • Female
  • Years of Experience 8
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARIE ALEXANDER

This page provides the complete NPI Profile along with additional information for Marie Alexander, a provider established in New Orleans, Louisiana with a medical specialization in Physician Assistant, focusing in surgical and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1063984607 assigned on December 2018. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1063984607
Provider Name
MRS. MARIE ALEXANDER MS, MSPAS, PA
Gender
Female
Entity Type
Individual
Location Address
1415 TULANE AVE FL 5 NEW ORLEANS, LA 70112
Location Phone
(504) 988-5561
Mailing Address
131 S ROBERTSON ST STE 1300 NEW ORLEANS, LA 70112
Mailing Phone
(504) 988-5565
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
12-20-2018
Last Update Date
12-20-2018
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Location Map

Secondary Locations

  • 4224 Houma Blvd Ste 550
    Metairie, LA 70006
    (504) 503-7001

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Signature Blue Copay (PCP) 60/40 $6000 Standardized - POS
  • Signature Blue Copay (PCP) 75/55 $2000 Standardized - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Marie Alexander is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Marie Alexander is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133461577

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190503001649

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Spinal fusion

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Marie Alexander is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
EAST JEFFERSON GENERAL HOSPITAL4200 HOUMA BLVD
METAIRIE, LA 70006
(504) 988-5263Acute Care Hospitals

Reviews for MRS. MARIE ALEXANDER MS, MSPAS, PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063984607, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 8 + 8 + 8 + 6 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063984607.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nurse Practitioner
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Physician Assistant (Surgical)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Internal Medicine (Infectious Disease)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Neurological Surgery
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Psychiatry & Neurology (Neurology)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Psychiatry & Neurology (Neurology)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Psychiatry & Neurology (Neurocritical Care)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Neurological Surgery
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Nurse Practitioner (Family)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Psychiatry & Neurology (Neurology)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Internal Medicine
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Internal Medicine (Pulmonary Disease)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Psychiatry & Neurology (Epilepsy)
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112
Dermatology
1415 TULANE AVE FL 5
NEW ORLEANS, LA 70112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063984607, enumerated as an "individual" on December 20, 2018.

The provider is located at 1415 TULANE AVE FL 5 NEW ORLEANS, LA 70112 and the phone number is (504) 988-5561.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.

Marie Alexander is affiliated with: EAST JEFFERSON GENERAL HOSPITAL.