Madison Alyse Gorman, is a
Student In An Organized Health Care Education/training Program based in Islip, New York. Madison Alyse Gorman is licensed to practice in * (Not Available) (license number ) and her current practice location is
252 Islip Ave # B, Islip, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 581-6800.
NPI number for Madison Alyse Gorman is 1215582747 and her current mailing address is 229 Lower Sheep Pasture Rd, East Setauket, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215582747.
Healthcare Provider's Profile
| Full Name | Madison Alyse Gorman |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 252 Islip Ave # B, Islip, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215582747
- Provider Enumeration Date: 08/01/2019
- Last Update Date: 08/01/2019
Medical Identifiers
Medical identifiers for Madison Alyse Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215582747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (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. Madison Alyse Gorman 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 |
|---|
Madison Alyse Gorman,
229 Lower Sheep Pasture Rd,
East Setauket, NY 11733-1866
Ph: (631) 495-6483 | Madison Alyse Gorman,
252 Islip Ave # B,
Islip, NY 11751-3015
Ph: (631) 581-6800 |
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