Lissette Ortiz De Pryor, PA-C in Trenton, NJ - Medicare Physician Assistant

Lissette Ortiz De Pryor, PA-C is a medicare enrolled "Physician Assistant" in Trenton, New Jersey. Her current practice location is 321 N Warren St, Henry J Austin Health Center Inc, Trenton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 278-5939.

Lissette Ortiz De Pryor is licensed to practice in New Jersey (license number 25MP00186200) 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 1912196981.

Contact Information

	Lissette Ortiz De Pryor, PA-C
	321 N Warren St, Henry J Austin Health Center Inc, Trenton, NJ 08618-4741
	(609) 278-5939
	(609) 695-3532

Map and Direction

Provider's Profile

Full Name	Lissette Ortiz De Pryor
Gender	Female
Speciality	Physician Assistant
Location	321 N Warren St, Trenton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912196981
Provider Enumeration Date: 10/16/2007
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 2961678388
Enrollment ID: I20120105000483

Medical Identifiers

Medical identifiers for Lissette Ortiz De Pryor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912196981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00186200 (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. Lissette Ortiz De Pryor 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
Lissette Ortiz De Pryor, PA-C 3100 Spring Forest Rd, Ste 130, Raleigh, NC 27616-2880 Ph: (919) 882-0706	Lissette Ortiz De Pryor, PA-C 321 N Warren St, Henry J Austin Health Center Inc, Trenton, NJ 08618-4741 Ph: (609) 278-5939

Reviews and Comments

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Lissette Ortiz De Pryor, PA-C - Medicare Physician Assistant in Trenton, NJ