Alissa Bolek Spade, PA-C is a medicare enrolled "Physician Assistant" physician in Austin, Texas. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Scott And White Clinic and her current practice location is
11673 Jollyville Rd Ste 205, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 834-9999.
Alissa Bolek Spade is licensed to practice in Texas (license number PA13956) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073109864.
Physician's Profile
| Full Name | Alissa Bolek Spade |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 11673 Jollyville Rd Ste 205, Austin, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alissa Bolek Spade graduated from medical school in 2019
NPI Data:
- NPI Number: 1073109864
- Provider Enumeration Date: 12/15/2020
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163816828
- Enrollment ID: I20220223002556
Medical Identifiers
Medical identifiers for Alissa Bolek Spade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073109864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | PA13956 (Texas) | Secondary |
| 207R00000X | Internal Medicine | PA13956 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA13956 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Scott And White Clinic | 8123923604 | 2276 |
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. Alissa Bolek Spade 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 |
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Alissa Bolek Spade, PA-C
Po Box 844658,
Dallas, TX 75284-4658
Ph: (254) 724-2111 | Alissa Bolek Spade, PA-C
11673 Jollyville Rd Ste 205,
Austin, TX 78759-4211
Ph: (512) 834-9999 |
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