Mrs Alisa Stephanie Goulbourne-scott, PA-C in Ridgewood, NJ

Mrs Alisa Stephanie Goulbourne-scott, PA-C is a medicare enrolled "Physician Assistant" in Ridgewood, New Jersey. Her current practice location is 19 Henrietta Ct, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 670-7498.

Mrs Alisa Stephanie Goulbourne-scott is licensed to practice in New York (license number 0041901) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942428255.

Contact Information

	Mrs Alisa Stephanie Goulbourne-scott, PA-C
	19 Henrietta Ct, Ridgewood, NJ 07450-2938
	(201) 670-7498
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alisa Stephanie Goulbourne-scott
Gender	Female
Speciality	Physician Assistant
Location	19 Henrietta Ct, Ridgewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942428255
Provider Enumeration Date: 04/23/2007
Last Update Date: 09/14/2007

Medicare PECOS Information:

PECOS PAC ID: 7315038635
Enrollment ID: I20070801000150

Medical Identifiers

Medical identifiers for Mrs Alisa Stephanie Goulbourne-scott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942428255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0041901 (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. Mrs Alisa Stephanie Goulbourne-scott 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
Mrs Alisa Stephanie Goulbourne-scott, PA-C 19 Henrietta Ct, Ridgewood, NJ 07450-2938 Ph: (201) 670-7498	Mrs Alisa Stephanie Goulbourne-scott, PA-C 19 Henrietta Ct, Ridgewood, NJ 07450-2938 Ph: (201) 670-7498

Reviews and Comments

Physician Assistant Nurses in Ridgewood, NJ

Miss Chelsea J. Mcclure, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471
Max Jacob Sherman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450 Phone: 201-444-0868
Diana C. Zury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471
Jessica Perkins, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Prospect St, Ridgewood, NJ 07450 Phone: 201-639-2656
Nicole J Loprinzi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471
Jennifer L Ormsby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471
Sharon Soroka Ukleja, P A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 Wilsey Sq Ste C, Ridgewood, NJ 07450 Phone: 201-957-7220 Fax: 201-977-6747

Mrs Alisa Stephanie Goulbourne-scott, PA-C - Medicare Physician Assistant in Ridgewood, NJ