Dr Alyssa Fedorko, MD/PHD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Greenville, Michigan. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Spectrum Health United and her current practice location is
707 S Greenville West Dr, Greenville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 754-3001.
Dr Alyssa Fedorko is licensed to practice in Michigan (license number 4301512074) 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 1811516511.
Physician's Profile
| Full Name | Dr Alyssa Fedorko |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 5 Years |
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| Location | 707 S Greenville West Dr, Greenville, Michigan |
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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:
- Dr Alyssa Fedorko graduated from medical school in 2020
NPI Data:
- NPI Number: 1811516511
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638593619
- Enrollment ID: I20240710005068
Medical Identifiers
Medical identifiers for Dr Alyssa Fedorko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811516511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4301512074 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spectrum Health United | 6305836487 | 54 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alyssa Fedorko allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Health United |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457304495
PECOS PAC ID: 6305836487
Enrollment ID: O20040612000087 |
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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. Dr Alyssa Fedorko 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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Dr Alyssa Fedorko, MD/PHD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Alyssa Fedorko, MD/PHD
707 S Greenville West Dr,
Greenville, MI 48838-3514
Ph: (616) 754-3001 |
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