Ms Alyssa Lakin, PA C is a medicare enrolled "Family Medicine" in Maquoketa, Iowa. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Soderstrom Dermatology Center S C., Genesis Health System, Soderstrom Dermatology Center S C., Genesis Health System and her current practice location is
206 N Arcade, Maquoketa, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 652-6711.
Ms Alyssa Lakin is licensed to practice in Iowa (license number 002423) 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 1629415922.
Provider's Profile
| Full Name | Ms Alyssa Lakin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 206 N Arcade, Maquoketa, Iowa |
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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. |
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Medical Education and Training:
- Ms Alyssa Lakin graduated from nursing school in 2013
NPI Data:
- NPI Number: 1629415922
- Provider Enumeration Date: 05/28/2013
- Last Update Date: 07/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941438824
- Enrollment ID: I20140123000448
Medical Identifiers
Medical identifiers for Ms Alyssa Lakin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629415922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 002423 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Genesis Health System | 7214841436 | 187 |
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Genesis Health System | 7214841436 | 187 |
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. Ms Alyssa Lakin 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 |
|---|
Ms Alyssa Lakin, PA C
4909 N Glen Park Place Rd,
Peoria, IL 61614-4676
Ph: (563) 652-6711 | Ms Alyssa Lakin, PA C
206 N Arcade,
Maquoketa, IA 52060-2022
Ph: (563) 652-6711 |
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