ALISHA T DETROYE PAC
NPI 1699750729
Physician Assistant - Medical in High Point, NC

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
905 PHILLIPS AVE, HIGH POINT, NC 27262(336) 802-2040(336) 802-2041 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alisha T Detroye Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISHA T DETROYE PAC (NPI 1699750729) is an individual medical provider in High Point, North Carolina, licensed in North Carolina (104035) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1699750729
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALISHA T DETROYECredential: PAC
Location Address905 PHILLIPS AVEHigh Point, NC 27262-7075
Mailing Address1701 Westchester Dr, Suite 850High Point, NC 27262-7008 · (336) 802-2536 · Fax (336) 802-2534
Fax(336) 802-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 15, 2013
NPI 1699750729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 104035
905 PHILLIPS AVE, High Point, NC 27262

Other Identifiers 5

Medicare PIN2760946NC
Medicare PINP00159778NC
Medicare UPINQ21240
OtherD5159NC · Medcost
Other7264734NC · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisha T Detroye Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284608308
PECOS Enrollment IDI20040824001170
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims3,020 services$0.41 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims13 services$12.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
905 PHILLIPS AVE
HIGH POINT, NC 27262
Family Medicine
905 PHILLIPS AVE
HIGH POINT, NC 27262
Internal Medicine
905 PHILLIPS AVE
HIGH POINT, NC 27262
Family Medicine
905 PHILLIPS AVE
HIGH POINT, NC 27262
Physician Assistant
905 PHILLIPS AVE
HIGH POINT, NC 27262
Family Medicine
905 PHILLIPS AVE
HIGH POINT, NC 27262
Non-Pharmacy Dispensing Site
905 PHILLIPS AVE
HIGH POINT, NC 27262
Physician Assistant
905 PHILLIPS AVE
HIGH POINT, NC 27262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699750729, enumerated as an "individual" on December 13, 2005.

The provider is located at 905 PHILLIPS AVE HIGH POINT, NC 27262 and the phone number is (336) 802-2040.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.

Alisha Detroye is affiliated with: NORTH CAROLINA BAPTIST HOSPITAL.