Alyssa L Detommaso, PA-C in Fort Wayne, IN - Medicare Physician Assistant

Alyssa L Detommaso, PA-C is a medicare enrolled "Physician Assistant" in Fort Wayne, Indiana. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lutheran Medical Group Llc and her current practice location is 2516 E Dupont Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 458-3050.

Alyssa L Detommaso is licensed to practice in Indiana (license number 10002198A) 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 1801339791.

Contact Information

	Alyssa L Detommaso, PA-C
	2516 E Dupont Rd, Fort Wayne, IN 46825-1608
	(260) 458-3050
	(260) 479-4621

Map and Direction

Provider's Profile

Full Name	Alyssa L Detommaso
Gender	Female
Speciality	Physician Assistant
Experience	10 Years
Location	2516 E Dupont Rd, Fort Wayne, Indiana
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 L Detommaso graduated from nursing school in 2016

NPI Data:

NPI Number: 1801339791
Provider Enumeration Date: 11/23/2016
Last Update Date: 10/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3779868476
Enrollment ID: I20170321000150

Medical Identifiers

Medical identifiers for Alyssa L Detommaso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801339791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10002198A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Medical Group Llc	4981751617	248

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 L Detommaso 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 L Detommaso, PA-C 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 Ph: (260) 458-3050	Alyssa L Detommaso, PA-C 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 Ph: (260) 458-3050

Reviews and Comments

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Alyssa L Detommaso, PA-C - Medicare Physician Assistant in Fort Wayne, IN