Alyssa Brooke Constantino, PA is a medicare enrolled "Physician Assistant - Medical" in Union Gap, Washington. Her current practice location is
1420 Ahtanum Ridge Dr, Union Gap, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 454-7700.
Alyssa Brooke Constantino is licensed to practice in Washington (license number PA61646555) 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 1629706551.
Provider's Profile
Full Name | Alyssa Brooke Constantino |
---|
Gender | Female |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 1420 Ahtanum Ridge Dr, Union Gap, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629706551
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 06/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204207491
- Enrollment ID: I20230126001107
Medical Identifiers
Medical identifiers for Alyssa Brooke Constantino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629706551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA8912 (Massachusetts) | Secondary |
363AM0700X | Physician Assistant - Medical | PA61646555 (Washington) | 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 Brooke Constantino 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 Brooke Constantino, PA 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 | Alyssa Brooke Constantino, PA 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 Ph: (509) 454-7700 |
Reviews and Comments