Alyssa Ventura, PA-C is a medicare enrolled "Physician Assistant" physician in Fayetteville, North Carolina. Her current practice location is
1617 Owen Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 491-8934.
Alyssa Ventura is licensed to practice in North Carolina (license number 0010-12713) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528661402.
Physician's Profile
| Full Name | Alyssa Ventura |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1617 Owen Dr, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528661402
- Provider Enumeration Date: 11/21/2020
- Last Update Date: 08/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779951744
- Enrollment ID: I20221122003029
Medical Identifiers
Medical identifiers for Alyssa Ventura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528661402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0010-12713 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-12713 (North Carolina) | 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 Ventura 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 Ventura, PA-C 1613 Owen Dr Ste B, Fayetteville, NC 28304-3425 Ph: (910) 491-8934 | Alyssa Ventura, PA-C 1617 Owen Dr, Fayetteville, NC 28304-3425 Ph: (910) 491-8934 |
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