Alyssa Gardner, is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Kenmore, New York. Alyssa Gardner is licensed to practice in New York (license number 2081S0010X) and her current practice location is 40 Goodyear Road, Kenmore, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 803-0115.
NPI number for Alyssa Gardner is 1013642081 and her current mailing address is 2933 Delaware Ave Apt 4, Kenmore, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013642081.
Physician's Profile
| Full Name | Alyssa Gardner |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 40 Goodyear Road, Kenmore, 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: 1013642081
- Provider Enumeration Date: 07/22/2022
- Last Update Date: 07/22/2022
Medical Identifiers
Medical identifiers for Alyssa Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013642081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2081S0010X (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 Gardner 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 |
|---|
Alyssa Gardner,
2933 Delaware Ave Apt 4,
Kenmore, NY 14217-2336
Ph: (716) 803-0115 | Alyssa Gardner,
40 Goodyear Road,
Kenmore, NY 14217-1421
Ph: (716) 803-0115 |
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