Alyssa Nicole Tharp, PA-C is a
Physician Assistant based in Valley Cottage, New York. Alyssa Nicole Tharp is licensed to practice in New York (license number 029710) and her current practice location is
6 Pine Tree Ct, Valley Cottage, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 596-4084.
NPI number for Alyssa Nicole Tharp is 1174228357 and her current mailing address is 6 Pine Tree Ct, Valley Cottage, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174228357.
Provider's Profile
| Full Name | Alyssa Nicole Tharp |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6 Pine Tree Ct, Valley Cottage, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174228357
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 04/05/2023
Medical Identifiers
Medical identifiers for Alyssa Nicole Tharp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174228357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 029710 (New York) | 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 Nicole Tharp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyssa Nicole Tharp, PA-C
6 Pine Tree Ct,
Valley Cottage, NY 10989-1620
Ph: () - | Alyssa Nicole Tharp, PA-C
6 Pine Tree Ct,
Valley Cottage, NY 10989-1620
Ph: (845) 596-4084 |
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