Mrs Alimata Sore Ouedraogo, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jersey City, New Jersey. Her current practice location is
176 Palisade Ave, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 795-8200.
Mrs Alimata Sore Ouedraogo is licensed to practice in New Jersey (license number 26NJ01068900) 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 1639778301.
Physician's Profile
Full Name | Mrs Alimata Sore Ouedraogo |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 176 Palisade Ave, Jersey City, New Jersey |
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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. |
Medical Education and Training:
- Mrs Alimata Sore Ouedraogo attended and graduated from in
NPI Data:
- NPI Number: 1639778301
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Alimata Sore Ouedraogo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639778301 | NPI | - | NPPES |
0773093 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 26NJ01068900 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01068900 (New Jersey) | 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. Mrs Alimata Sore Ouedraogo 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 |
Mrs Alimata Sore Ouedraogo, APN 176 Palisade Ave, Jersey City, NJ 07306-1121 Ph: (201) 795-8200 | Mrs Alimata Sore Ouedraogo, APN 176 Palisade Ave, Jersey City, NJ 07306 Ph: (201) 795-8200 |
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