Ms Alysha S Jaffer, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" physician in Decatur, Georgia. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northside Cv Professional Services Llc and her current practice location is
2536 Lawrenceville Hwy, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 934-6832.
Ms Alysha S Jaffer is licensed to practice in Georgia (license number 005146) 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 1760677322.
Physician's Profile
| Full Name | Ms Alysha S Jaffer |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 2536 Lawrenceville Hwy, Decatur, Georgia |
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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:
- Ms Alysha S Jaffer graduated from medical school in 2007
NPI Data:
- NPI Number: 1760677322
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 09/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688760192
- Enrollment ID: I20071015000297
Medical Identifiers
Medical identifiers for Ms Alysha S Jaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760677322 | NPI | - | NPPES |
| 225403045 A & B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 001615 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 1615 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 005146 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northside Cv Professional Services Llc | 4880003771 | 49 |
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. Ms Alysha S Jaffer 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 |
|---|
Ms Alysha S Jaffer, PHYSICIAN ASSISTANT
755 Walther Rd,
Lawrenceville, GA 30046-8725
Ph: (770) 290-8087 | Ms Alysha S Jaffer, PHYSICIAN ASSISTANT
2536 Lawrenceville Hwy,
Decatur, GA 30033-3227
Ph: (770) 934-6832 |
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