Alyssia Moore, PA is a
Physician Assistant - Medical based in Huntington Woods, Michigan. Alyssia Moore is licensed to practice in Michigan (license number 5601007869) and her current practice location is
26657 Woodward Ave Ste 200, Huntington Woods, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 957-7999.
NPI number for Alyssia Moore is 1679029458 and her current mailing address is 26657 Woodward Ave Ste 200, Huntington Woods, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679029458.
Provider's Profile
Full Name | Alyssia Moore |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 26657 Woodward Ave Ste 200, Huntington Woods, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679029458
- Provider Enumeration Date: 08/31/2016
- Last Update Date: 11/02/2017
Medical Identifiers
Medical identifiers for Alyssia Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679029458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 5601007869 (Michigan) | 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. Alyssia Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alyssia Moore, PA 26657 Woodward Ave Ste 200, Huntington Woods, MI 48070-1304 Ph: (248) 398-8400 | Alyssia Moore, PA 26657 Woodward Ave Ste 200, Huntington Woods, MI 48070-1304 Ph: (248) 957-7999 |
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