| Alyssa G Bovalino, PA-C | |
|
101 Dates Dr, Ithaca, NY 14850-1342 | |
| (315) 480-8733 | |
| Not Available |
| Full Name | Alyssa G Bovalino |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 101 Dates Dr, Ithaca, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417406398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 020196 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pic Indiana Pc | 3476790239 | 143 |
| Wellnow Urgent Care, P.c. | 8325320864 | 395 |
| Physicians Immediate Care North Chicago Llc | 8729064159 | 256 |
| Entity Name | Pic Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa G Bovalino, PA-C 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (315) 698-1496 | Alyssa G Bovalino, PA-C 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (315) 480-8733 |
Charlene Brew, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 |
Paul Emerson Jones, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 |
Ms. Paula Fitzsimmons, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850 Phone: 607-339-0625 Fax: 607-535-2714 |
Shanise Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 |
Rodger Joseph Lantz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-279-0199 |
Rocco Rosano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-272-7000 |
Mr. Bryan R Gibb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 Fax: 607-272-4604 |