Alyssa Jo Pratt, DPM is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Fayetteville, North Carolina. Her current practice location is
1738 Metromedical Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 484-4191.
Alyssa Jo Pratt 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 1144965666.
Healthcare Provider's Profile
Full Name | Alyssa Jo Pratt |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1738 Metromedical Dr, Fayetteville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144965666
- Provider Enumeration Date: 04/29/2022
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789069857
- Enrollment ID: I20220912000137
Medical Identifiers
Medical identifiers for Alyssa Jo Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144965666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 855 (North Carolina) | Secondary |
213E00000X | Podiatrist | 855 (North Carolina) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | 855 (North Carolina) | 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. Alyssa Jo Pratt 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 Jo Pratt, DPM 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 484-4191 | Alyssa Jo Pratt, DPM 1738 Metromedical Dr, Fayetteville, NC 28304-3861 Ph: (910) 484-4191 |
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