Alyssa Irene Fredbo, PA-C is a medicare enrolled "Physician Assistant" physician in Salt Lake City, Utah. She went to Yale University School Of Medicine and graduated in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Utah Acuity Care Services and her current practice location is
50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(651) 323-8334.
Alyssa Irene Fredbo is licensed to practice in Utah (license number 13455633-1206) 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 1376226936.
Physician's Profile
| Full Name | Alyssa Irene Fredbo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 50 N Medical Dr, Salt Lake City, Utah |
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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. |
Medical Education and Training:
- Alyssa Irene Fredbo attended and graduated from Yale University School Of Medicine in 2023
NPI Data:
- NPI Number: 1376226936
- Provider Enumeration Date: 08/10/2023
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204286446
- Enrollment ID: I20231229001384
Medical Identifiers
Medical identifiers for Alyssa Irene Fredbo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376226936 | NPI | - | NPPES |
| 2018031454 | Other | UT | EMT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 13455633-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 13455633-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Of Utah Acuity Care Services | 4789908534 | 116 |
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 Irene Fredbo 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 |
Alyssa Irene Fredbo, PA-C 2100 Park Ave Unit 682858, Park City, UT 84068-4615 Ph: () - | Alyssa Irene Fredbo, PA-C 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (651) 323-8334 |
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