Ilyssa Liberto, - Medicare Physician Assistant in Ridley Park, PA

Ilyssa Liberto, is a medicare enrolled "Physician Assistant - Medical" in Ridley Park, Pennsylvania. Her current practice location is 1 Bartol Ave Ste 100, Ridley Park, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 521-9996.

Ilyssa Liberto 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 1437933298.

Contact Information

Ilyssa Liberto,
1 Bartol Ave Ste 100,
Ridley Park, PA 19078-2214
(610) 521-9996
Not Available



Provider's Profile

Full NameIlyssa Liberto
GenderFemale
SpecialityPhysician Assistant - Medical
Location1 Bartol Ave Ste 100, Ridley Park, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437933298
  • Provider Enumeration Date: 08/22/2023
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608224779
  • Enrollment ID: I20231129003925

Medical Identifiers

Medical identifiers for Ilyssa Liberto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437933298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary

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. Ilyssa Liberto 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 AddressPractice Location Address
Ilyssa Liberto,
Po Box 34990,
Belfast, ME 04915-0627

Ph: (610) 359-5672
Ilyssa Liberto,
1 Bartol Ave Ste 100,
Ridley Park, PA 19078-2214

Ph: (610) 521-9996

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› Verified 1 days ago


Physician Assistant Nurses in Ridley Park, PA

Justin Kyle Balliet, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Bartol Ave Ste 14, Ridley Park, PA 19078
Phone: 610-521-9074    Fax: 610-521-9074
Mrs. Lacey M. O'hara, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Bartol Ave, Suite 10, Ridley Park, PA 19078
Phone: 610-521-0150    Fax: 610-521-6493
Amy Kay Ayre,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Bartol Ave Ste 100, Ridley Park, PA 19078
Phone: 610-521-8970    
Richard E Leyman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Bartol Ave, Suite 10, Ridley Park, PA 19078
Phone: 610-521-0150    Fax: 610-521-0567
Ms. Celia Abrams, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 175 E Chester Pike, 3rd Floor, Sleep Center, Ridley Park, PA 19078
Phone: 610-595-6272    Fax: 610-595-6273
Cassandra Venditti,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Chester Pike, Ridley Park, PA 19078
Phone: 610-521-3333    

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