Mrs Marissa Brianna Allen, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Mrs Marissa Brianna Allen is licensed to practice in * (Not Available) (license number ) and her current practice location is
8189 Little Sydneys Way, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(502) 492-9929.
NPI number for Mrs Marissa Brianna Allen is 1013770395 and her current mailing address is 8189 Little Sydneys Way, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013770395.
Provider's Profile
| Full Name | Mrs Marissa Brianna Allen |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8189 Little Sydneys Way, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013770395
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medical Identifiers
Medical identifiers for Mrs Marissa Brianna Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013770395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mrs Marissa Brianna Allen 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 |
|---|
Mrs Marissa Brianna Allen,
8189 Little Sydneys Way,
Charleston, SC 29406-8922
Ph: () - | Mrs Marissa Brianna Allen,
8189 Little Sydneys Way,
Charleston, SC 29406-8922
Ph: (502) 492-9929 |
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