Alexa Rae Boffoli, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Alexa Rae Boffoli is licensed to practice in California (license number 90655) and her current practice location is
2275 Arlington Dr, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Alexa Rae Boffoli is 1093181737 and her current mailing address is 2275 Arlington Dr, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093181737.
Healthcare Provider's Profile
| Full Name | Alexa Rae Boffoli |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2275 Arlington Dr, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093181737
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 05/02/2017
Medical Identifiers
Medical identifiers for Alexa Rae Boffoli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093181737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 90655 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 90655 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 90655 (California) | 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. Alexa Rae Boffoli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alexa Rae Boffoli,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Alexa Rae Boffoli,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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