Mrs Marissa Brianna Allen, in Charleston, SC - Medicare Student in an Organized Health Care Education/Training Program

Mrs Marissa Brianna Allen, - Medicare Student in an Organized Health Care Education/Training Program in Charleston, SC

Mrs Marissa Brianna Allen, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Charleston, South Carolina. Her current practice location is 8189 Little Sydneys Way, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (502) 492-9929.

Mrs Marissa Brianna Allen is licensed to practice in * (Not Available) (license number ) 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 1013770395.

Contact Information

	Mrs Marissa Brianna Allen,
	8189 Little Sydneys Way, Charleston, SC 29406-8922
	(502) 492-9929
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marissa Brianna Allen
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	8189 Little Sydneys Way, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013770395
Provider Enumeration Date: 01/31/2024
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 7315467503
Enrollment ID: I20250218002567

Medical Identifiers

Medical identifiers for Mrs Marissa Brianna Allen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013770395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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 Marissa Brianna Allen 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 Marissa Brianna Allen, 8189 Little Sydneys Way, Charleston, SC 29406-8922 Ph: () -	Mrs Marissa Brianna Allen, 8189 Little Sydneys Way, Charleston, SC 29406-8922 Ph: (502) 492-9929