Alyssa N Moore, PA-C is a medicare enrolled "Physician Assistant" in Hogansburg, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Regis Mohawk Tribe and her current practice location is
412 State Route 37, Hogansburg, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 358-3141.
Alyssa N Moore is licensed to practice in New York (license number 017600) 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 1093127615.
Provider's Profile
| Full Name | Alyssa N Moore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 412 State Route 37, Hogansburg, New York |
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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 N Moore graduated from nursing school in 2014
NPI Data:
- NPI Number: 1093127615
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 06/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 6800112194
- Enrollment ID: I20150304000698
Medical Identifiers
Medical identifiers for Alyssa N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093127615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | P92874 (New York) | Secondary |
| 363A00000X | Physician Assistant | 017600 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Regis Mohawk Tribe | 5799748547 | 9 |
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 N Moore 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 N Moore, PA-C
4 Hamilton St, Apt 3,
Potsdam, NY 13676-2049
Ph: (518) 669-2969 | Alyssa N Moore, PA-C
412 State Route 37,
Hogansburg, NY 13655-3109
Ph: (518) 358-3141 |
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