Alyssa S Deppong, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Pleasant Prairie, Wisconsin. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 857-5000.
Alyssa S Deppong is licensed to practice in Wisconsin (license number 4736-23) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538721451.
Physician's Profile
| Full Name | Alyssa S Deppong |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alyssa S Deppong graduated from medical school in 2019
NPI Data:
- NPI Number: 1538721451
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 12/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709112758
- Enrollment ID: I20190729001776
Medical Identifiers
Medical identifiers for Alyssa S Deppong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538721451 | NPI | - | NPPES |
| 100091500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | 4736-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 4736-23 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 S Deppong 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 |
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Alyssa S Deppong, PHYSICIAN ASSISTANT
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227
Ph: (262) 857-5000 | Alyssa S Deppong, PHYSICIAN ASSISTANT
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227
Ph: (262) 857-5000 |
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