Alexandra Lyn Condy, PA is a medicare enrolled "Physician Assistant" physician in Sumter, South Carolina. Her current practice location is
129 N Washington St, Sumter, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 774-9099.
Alexandra Lyn Condy is licensed to practice in * (Not Available) (license number ) 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 1164998266.
Physician's Profile
Full Name | Alexandra Lyn Condy |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 129 N Washington St, Sumter, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164998266
- Provider Enumeration Date: 10/17/2018
- Last Update Date: 11/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961731575
- Enrollment ID: I20190906002938
Medical Identifiers
Medical identifiers for Alexandra Lyn Condy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164998266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 3079 (South Carolina) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Alexandra Lyn Condy 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 |
Alexandra Lyn Condy, PA Po Box 601495, Charlotte, NC 28260-1495 Ph: (843) 789-1620 | Alexandra Lyn Condy, PA 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-9099 |
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