Alyssa Ostby Coutts , PA-C
Physician Assistant • Vero Beach, FL
1600 36th St Ste B
Vero Beach, FL 32960
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 22, 2015; this date does not establish years in practice.
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Published CMS data list 8,203 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 3,023 service units.
- 99213 — Established patient outpatient office visit: 1,622 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 804 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 719 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Triamcinolone Acetonide — 121 prescription fills, including refills.
- Cephalexin — 113 prescription fills, including refills.
- Mupirocin — 87 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: 399. Middle half: 61 to 861.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 5,222 in 2020 to 8,203 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1600 36th St Ste B
Vero Beach, FL 32960
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Selectskinmd Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,557 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $493,168 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $359,030 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
790 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$11,858 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alyssa Coutts has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alyssa Coutts as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Vero Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: 399. Middle half: 61 to 861.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: $38,718. Middle half: $5,684 to $82,349.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: $29,340. Middle half: $3,870 to $61,409.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: 261. Middle half: 85 to 677.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Vero Beach, FL (2024, 42 clinicians with data). Median for this group: $4,718. Middle half: $1,044 to $64,979.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
72 active clinicians are listed under Physician Assistant with a practice address in Vero Beach, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Vero Beach
11.1% of these 72 clinicians have the CMS telehealth indicator.
69.4% of these 72 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 57% from 5,222 in 2020 to 8,203 in 2024.
- 2020: 5,222
- 2021: 5,396
- 2022: 7,177
- 2023: 8,761
- 2024: 8,203
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Medicare-allowed amount
Medicare-allowed amount increased 85% from $265,902 in 2020 to $493,168 in 2024.
- 2020: $265,902
- 2021: $357,563
- 2022: $433,185
- 2023: $539,046
- 2024: $493,168
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Paid by Medicare
Paid by Medicare increased 90% from $188,777 in 2020 to $359,030 in 2024.
- 2020: $188,777
- 2021: $256,543
- 2022: $315,038
- 2023: $387,200
- 2024: $359,030
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 85% from 389 in 2020 to 719 in 2024.
- 2020: 389
- 2021: 468
- 2022: 467
- 2023: 697
- 2024: 719
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30-day fills
30-day fills increased 88% from 421 in 2020 to 790 in 2024.
- 2020: 421
- 2021: 512
- 2022: 494
- 2023: 759
- 2024: 790
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Part D drug cost
Part D drug cost varied from year to year: $12,415 in 2020 and $11,858 in 2024.
- 2020: $12,415
- 2021: $10,228
- 2022: $14,724
- 2023: $17,939
- 2024: $11,858
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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3,023 | 470 | $10.00 | $5.60 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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1,622 | 1,132 | $140.27 | $78.59 |
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17000
Destruction of precancer skin growth, 1 growth
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804 | 612 | $104.52 | $44.29 |
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17110
Destruction of skin growth, 1-14 growths
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493 | 397 | $173.33 | $85.28 |
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11301
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
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369 | 268 | $185.32 | $86.95 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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359 | 300 | $197.33 | $110.88 |
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11311
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
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227 | 181 | $209.22 | $110.87 |
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17004
Destruction of precancer skin growth, 15 or more growths
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226 | 170 | $256.52 | $144.28 |
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11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
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187 | 153 | $375.79 | $106.27 |
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11102
Biopsy of related skin growth, first growth
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150 | 137 | $157.00 | $62.82 |
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13121
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
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125 | 118 | $651.39 | $366.99 |
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11103
Biopsy of related skin growth, each additional growth
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112 | 49 | $85.00 | $43.10 |
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11306
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
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89 | 73 | $186.39 | $90.21 |
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13101
Complicated repair of wound of trunk, 2.6-7.5 cm
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80 | 76 | $607.13 | $324.56 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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70 | 70 | $172.80 | $97.22 |
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17261
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
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50 | 44 | $227.56 | $110.03 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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44 | 44 | $87.86 | $49.02 |
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69100
Biopsy of ear
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36 | 32 | $146.00 | $59.33 |
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11401
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
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34 | 32 | $239.53 | $67.22 |
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10040
Acne surgery
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26 | 23 | $177.73 | $86.53 |
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11900
Injection into skin growth, 1-7 growths
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20 | 15 | $88.80 | $33.61 |
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17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
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20 | 20 | $273.60 | $150.15 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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19 | 14 | $2.00 | $0.97 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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18 | 18 | $259.78 | $146.11 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Triamcinolone Acetonide | Triamcinolone Acetonide | 121 | 3,931 | $1,542.57 | 99 |
| Cephalexin | Cephalexin | 113 | 791 | $634.54 | 101 |
| Mupirocin | Mupirocin | 87 | 1,584 | $651.32 | 64 |
| Clobetasol Propionate | Clobetasol Propionate | 80 | 2,066 | $3,188.78 | 51 |
| Hydrocortisone | Hydrocortisone | 68 | 1,963 | $360.03 | 51 |
| Ketoconazole | Ketoconazole | 57 | 1,983 | $887.35 | 36 |
| Minocycline Hcl | Minocycline Hcl | 48 | 957 | $532.19 | 34 |
| Valacyclovir | Valacyclovir Hcl | 32 | 550 | $561.38 | 19 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 31 | 816 | $477.87 | 19 |
| Metronidazole | Metronidazole | 23 | 660 | $1,231.61 | 16 |
| Clindamycin Phosphate | Clindamycin Phosphate | 19 | 570 | $709.53 | 12 |
| Ciclopirox | Ciclopirox Olamine | 15 | 369 | $268.09 | — |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 14 | 423 | $468.59 | — |
| Doxycycline Hyclate | Doxycycline Hyclate | 11 | 667 | $344.32 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20160502001362
FL
1052610748
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Selectskinmd Llc
1600 36th St, Vero Beach, FL 329604875
Phone: 7725671164
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1600 36TH ST STE B, VERO BEACH, FL 32960 (Tel: 7723351500)
Recorded as ALYSSA COUTTS, PA-C
NPI status registered as active in NPPES database
Registered at 1325 36TH ST STE A, VERO BEACH, FL 329606599 (Tel: 7723351500)
Registered at 1325 36TH ST STE A, VERO BEACH, FL 329606599 (Tel: (772) 567-1164)
Recorded as ALYSSA OSTBY, PA-C
Physician Assistant (license number reported to NPPES: FL PA9108966)
NPI status registered as active in NPPES database
Registered at 9580 S FEDERAL HWY, PORT SAINT LUCIE, FL 349524217 (Tel: 7723351500)
Registered at 9580 S FEDERAL HWY, APT. 305, PORT SAINT LUCIE, FL 349524217 (Tel: 7723351500)
Recorded as ALYSSA OSTBY, PA-C
Physician Assistant (license number reported to NPPES: FL PA9108966)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Vero Beach
- Gretta Starnes, PA-C
- Katelyn Reismiller, PA-C
- Anastasia Seeram, PA-C
- Christyna Griffin, PA-C
- Margaret Leddy, PA-C
- Debora Baxa-Conroy, PHYSICIAN ASSISTANT
Mailing Address
1325 36th St Ste A
Vero Beach, FL 329606599
Phone: 7725671164