Ms Fabiola Allisson Estrada, PA in Albany, NY - Medicare Physician Assistant

Ms Fabiola Allisson Estrada, PA is a medicare enrolled "Physician Assistant" in Albany, New York. Her current practice location is 315 S Manning Blvd, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 525-8600.

Ms Fabiola Allisson Estrada is licensed to practice in New York (license number 015642) 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 1063772226.

Contact Information

	Ms Fabiola Allisson Estrada, PA
	315 S Manning Blvd, Albany, NY 12208-1707
	(518) 525-8600
	Not Available

Provider's Profile

Full Name	Ms Fabiola Allisson Estrada
Gender	Female
Speciality	Physician Assistant
Location	315 S Manning Blvd, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063772226
Provider Enumeration Date: 05/22/2012
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8729234224
Enrollment ID: I20120816000661

Medical Identifiers

Medical identifiers for Ms Fabiola Allisson Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063772226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	015642 (New York)	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. Ms Fabiola Allisson Estrada 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 Fabiola Allisson Estrada, PA Po Box 14890, Albany, NY 12212-4890 Ph: () -	Ms Fabiola Allisson Estrada, PA 315 S Manning Blvd, Albany, NY 12208-1707 Ph: (518) 525-8600

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Nicoletta Serafina Pacilli, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-5634
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Ms Fabiola Allisson Estrada, PA - Medicare Physician Assistant in Albany, NY