Alysandra L Andrusky, PA-C
Individual provider Active NPI Surgical Physician Assistant · Hermitage, PA
NPI 1366075541 · NPPES record last updated Aug 27, 2020
Key facts
- NPI
- 1366075541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- MA061275 (PA)
- Practice address
- 3120 Highland Rd
Hermitage, PA 16148-4512 - Phone
- (724) 342-2663
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707001743 | PA | Practitioner - Physician Assistant | 1759704976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA061275 | PA | Yes |
Addresses
Primary practice location
3120 Highland Rd
Hermitage, PA 16148-4512
Mailing address
3120 Highland Rd
Hermitage, PA 16148-4512
Phone (724) 342-2663
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alysandraandrusky@sopc.allscriptsdirect.net | Direct |
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All providers in Hermitage, PA · Surgical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.