Alyssa Nicole Tharp, PA-C is a medicare enrolled "Physician Assistant" in Valley Cottage, New York. Her current practice location is
6 Pine Tree Ct, Valley Cottage, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 596-4084.
Alyssa Nicole Tharp is licensed to practice in New York (license number 029710) 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 1174228357.
Provider's Profile
Full Name | Alyssa Nicole Tharp |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 6 Pine Tree Ct, Valley Cottage, New York |
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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: 1174228357
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204276025
- Enrollment ID: I20240426002259
Medical Identifiers
Medical identifiers for Alyssa Nicole Tharp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174228357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 029710 (New York) | 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 Nicole Tharp 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 Nicole Tharp, PA-C 6 Pine Tree Ct, Valley Cottage, NY 10989-1620 Ph: () - | Alyssa Nicole Tharp, PA-C 6 Pine Tree Ct, Valley Cottage, NY 10989-1620 Ph: (845) 596-4084 |
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