Alyssa Marie Heffernan, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Phoenix, Arizona. Her current practice location is
500 W Thomas Rd Ste 800, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 406-1234.
Alyssa Marie Heffernan is licensed to practice in Arizona (license number 10651) 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 1588431571.
Physician's Profile
Full Name | Alyssa Marie Heffernan |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 500 W Thomas Rd Ste 800, Phoenix, Arizona |
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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: 1588431571
- Provider Enumeration Date: 12/08/2023
- Last Update Date: 11/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799210209
- Enrollment ID: I20241120004267
Medical Identifiers
Medical identifiers for Alyssa Marie Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588431571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | 10651 (Arizona) | Secondary |
363AS0400X | Physician Assistant - Surgical | 10651 (Arizona) | 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. Alyssa Marie Heffernan 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 |
Alyssa Marie Heffernan, PA-C Po Box 33269, Phoenix, AZ 85067-3269 Ph: (602) 406-4786 | Alyssa Marie Heffernan, PA-C 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 Ph: (602) 406-1234 |
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