Alyssa N Moore, PA-C - Medicare Physician Assistant in Hogansburg, NY

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Alyssa N Moore, PA-C is a medicare enrolled "Physician Assistant" in Hogansburg, New York. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Healey Medical Practice, Pllc and her current practice location is 412 State Route 37, Hogansburg, New York. You can reach out to her office (for appointments etc.) via phone at (518) 358-3141.

Alyssa N Moore is licensed to practice in New York (license number 017600) 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 1093127615.

Contact Information

Alyssa N Moore, PA-C
412 State Route 37,
Hogansburg, NY 13655-3109
(518) 358-3141
Not Available

Map and Direction




Provider's Profile

Full NameAlyssa N Moore
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location412 State Route 37, Hogansburg, New York
Accepts Medicare AssignmentsYes. 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 N Moore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1093127615
  • Provider Enumeration Date: 06/02/2014
  • Last Update Date: 06/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6800112194
  • Enrollment ID: I20150304000698

Medical Identifiers

Medical identifiers for Alyssa N Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093127615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant P92874 (New York)Secondary
363A00000XPhysician Assistant 017600 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canton-potsdam HospitalPotsdam, NYHospital
Gouverneur HospitalGouverneur, NYHospital
Carthage Area Hospital, IncOgdensburg, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healey Medical Practice, Pllc26685418064

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. Alyssa N Moore allows following entities to bill medicare on her behalf.
Entity NameMichael Pm Pond
Entity TypePractitioner - Emergency Medicine
Entity IdentifiersNPI Number: 1962472514
PECOS PAC ID: 6709854367
Enrollment ID: I20040921001002
Entity NameEmergency Physician Services of New York, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameSt Regis Mohawk Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344558
PECOS PAC ID: 5799748547
Enrollment ID: O20041111000764
Entity NameHealey Medical Practice, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457568792
PECOS PAC ID: 2668541806
Enrollment ID: O20080514000564

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 N Moore 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 AddressPractice Location Address
Alyssa N Moore, PA-C
4 Hamilton St, Apt 3,
Potsdam, NY 13676-2049

Ph: (518) 669-2969		Alyssa N Moore, PA-C
412 State Route 37,
Hogansburg, NY 13655-3109

Ph: (518) 358-3141

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.