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Alicia Anderson

NPI 1104584622ActiveIndividual· Physician Assistant· Ronkonkoma, NY

Physician Assistant in Ronkonkoma, New York, with an NPI issued in December 2021. Part D covered 156 prescriptions written in 2024, 92% of them generic.

Overview

NPI1104584622
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 1, 2021
Last updated in NPPESFeb 11, 2022
Certified by providerFeb 11, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)

Part D prescriptions in 2024

Prescriptions (claims)156 · 156 30-day fills
Patients50
Total drug cost$4,946
Generic share92% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Ronkonkoma

All 15 physician assistants in Ronkonkoma · All physician assistants in New York