Alissa Bolek Spade, PA-C is a medicare enrolled "Physician Assistant" physician in Austin, Texas. Her current practice location is
11673 Jollyville Rd Ste 205, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 834-9999.
Alissa Bolek Spade is licensed to practice in Texas (license number PA13956) 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 1073109864.
Physician's Profile
Full Name | Alissa Bolek Spade |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 11673 Jollyville Rd Ste 205, Austin, Texas |
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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: 1073109864
- Provider Enumeration Date: 12/15/2020
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163816828
- Enrollment ID: I20220223002556
Medical Identifiers
Medical identifiers for Alissa Bolek Spade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073109864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | PA13956 (Texas) | Secondary |
363A00000X | Physician Assistant | PA13956 (Texas) | Primary |
207QA0505X | Family Medicine - Adult Medicine | PA13956 (Texas) | Secondary |
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. Alissa Bolek Spade 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 |
Alissa Bolek Spade, PA-C 7712 Seneca Falls Loop, Austin, TX 78739-2220 Ph: (512) 771-2703 | Alissa Bolek Spade, PA-C 11673 Jollyville Rd Ste 205, Austin, TX 78759-4211 Ph: (512) 834-9999 |
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