Mrs Alimata Sore Ouedraogo, APN in Jersey City, NJ - Medicare

Mrs Alimata Sore Ouedraogo, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jersey City, New Jersey. Her current practice location is 176 Palisade Ave, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 795-8200.

Mrs Alimata Sore Ouedraogo is licensed to practice in New Jersey (license number 26NJ01068900) 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 1639778301.

Contact Information

	Mrs Alimata Sore Ouedraogo, APN
	176 Palisade Ave, Jersey City, NJ 07306
	(201) 795-8200
	Not Available

Physician's Profile

Full Name	Mrs Alimata Sore Ouedraogo
Gender	Female
Speciality
Experience	Years
Location	176 Palisade Ave, Jersey City, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Alimata Sore Ouedraogo attended and graduated from in

NPI Data:

NPI Number: 1639778301
Provider Enumeration Date: 10/22/2020
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Alimata Sore Ouedraogo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639778301	NPI	-	NPPES
0773093	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	26NJ01068900 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ01068900 (New Jersey)	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 Alimata Sore Ouedraogo 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 Alimata Sore Ouedraogo, APN 176 Palisade Ave, Jersey City, NJ 07306-1121 Ph: (201) 795-8200	Mrs Alimata Sore Ouedraogo, APN 176 Palisade Ave, Jersey City, NJ 07306 Ph: (201) 795-8200

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Mrs Alimata Sore Ouedraogo, APN - Medicare in Jersey City, NJ