Alyssa Tripp, PA is a medicare enrolled "Physician Assistant - Surgical" in Saint John, Indiana. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Community Care Network Inc and her current practice location is
9615 Keilman St, Saint John, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 365-0220.
Alyssa Tripp is licensed to practice in * (Not Available) (license number ) 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 1710459839.
Provider's Profile
| Full Name | Alyssa Tripp |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 9615 Keilman St, Saint John, Indiana |
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| 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 Tripp graduated from nursing school in 2018
NPI Data:
- NPI Number: 1710459839
- Provider Enumeration Date: 12/31/2018
- Last Update Date: 10/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113265794
- Enrollment ID: I20190206000405
Medical Identifiers
Medical identifiers for Alyssa Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710459839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Community Care Network Inc | 3678737012 | 355 |
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 Tripp 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 Tripp, PA 9615 Keilman St, Saint John, IN 46373-9406 Ph: (219) 365-0220 | Alyssa Tripp, PA 9615 Keilman St, Saint John, IN 46373-9406 Ph: (219) 365-0220 |
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