ALICE CROWELL BENEFIELD CRNP NPI 1831537935

Nurse Practitioner (Family) in Alexander City, AL

NPI 1831537935 Individual Female Years of Experience 9 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About ALICE BENEFIELD

Alice Benefield is a provider established in Alexander City, Alabama and her medical specialization is nurse practitioner (family) with more than 9 years of experience. The NPI number of Alice Benefield is 1831537935 and was assigned on June 2013. The practitioner's primary taxonomy code is 363LF0000X with license number 1-114625 (AL). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A nurse practitioner (NP) like Alice Crowell Benefield Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Alice Benefield is enrolled in PECOS and is eligible to order or refer healthcare 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

Alice Benefield is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with The East Alabama Healthcare Authority.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.

NPI

1831537935

Provider Name ALICE CROWELL BENEFIELD CRNP
Provider Location Address3316 HIGHWAY 280 ALEXANDER CITY, AL 35010
Provider Mailing AddressPO BOX 939 ALEXANDER CITY, AL 35011
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2013
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-11-2013
Last Update Date06-11-2013


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1-114625
License StateAL

Business Address

ALICE CROWELL BENEFIELD CRNP
3316 HIGHWAY 280
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 329-7387

Get Directions


Mailing Address

ALICE CROWELL BENEFIELD CRNP
PO BOX 939
ALEXANDER CITY, AL
ZIP 35011
Phone:



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5496996175
PECOS Enrollment IDI20130812000198
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 35010 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Alice Benefield is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE EAST ALABAMA HEALTHCARE AUTHORITY2000 PEPPERELL PARKWAY
OPELIKA, AL 36801
(334) 749-3411Acute Care Hospitals10029

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588684344 PHYLLIS A PEMBERTON CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7120
1013937952 GENIE A BOLES CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7120
1306866199 JOHN NICHOLS ELGIN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7295
1003836925 MARY C. FORBUS CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7120
1891890331RADIOLOGY & IMAGING SPECIALISTS, P.C.
Organization
Specialist3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-2938
1295830644 LOUISE ROACH GEARY M.D.
Individual
Specialist3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-2938
1700933140SOUTHERN ANESTHESIA SPECIALISTS, P.C.
Organization
Anesthesiology3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-2938
1306980412RUSSELL HOSPITAL CORPORATION
Organization
Emergency Medicine (Emergency Medical Services)3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7109
1710156187 CAROLYN DELAINE GOSS SA-C, ST-C
Individual
Specialist/Technologist, Other (Surgical Assistant)3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 749-3158
1306000450 KRISTINA L MANSELL D.P.T.
Individual
Physical Therapist3316 HIGHWAY 280 RUSSELL MEDICAL CENTER
ALEXANDER CITY, AL 35010
(440) 476-2541
1992946685 CARRIE GRANGER WILDER CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100
1831573831 TAMMY RENAE COKER CRNP
Individual
Nurse Practitioner3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100
1699130815TEAM HEALTH
Organization
General Acute Care Hospital3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7387
1417252537RUSSELL HOSPITAL
Organization
Internal Medicine3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7109
1811913460THE RUSSELL HOSPITAL CORPORATION
Organization
General Acute Care Hospital3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7109
1194107490 KRISTEN MCDANIEL FULLER CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7146
1881754604 GEORGE NELSON COOPER M.D.
Individual
Anesthesiology3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-2938
1144731506 MARIA LUISA COXEY CRNP
Individual
Nurse Practitioner3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100
1831604156RUSSELL ONCOLOGY JV PHYSICIANS SERVICES LLC
Organization
Radiology (Radiation Oncology)3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7888
1508820440 RENEE PAYNE FREEMAN CRNA
Individual
Nurse Anesthetist, Certified Registered3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.