Alexander Lodge, MA is a
Psychologist based in Williston, Vermont. Alexander Lodge is licensed to practice in Vermont (license number 047.0133699) and his current practice location is
75 Talcott Rd Ste 30, Williston, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 503-2929.
NPI number for Alexander Lodge is 1720700404 and his current mailing address is 629 Metcalf Dr, Williston, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720700404.
Healthcare Provider's Profile
| Full Name | Alexander Lodge |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 75 Talcott Rd Ste 30, Williston, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720700404
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Alexander Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720700404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 047.0133699 (Vermont) | Secondary |
| 103T00000X | Psychologist | 047.0133699 (Vermont) | 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. Alexander Lodge 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 |
|---|
Alexander Lodge, MA
629 Metcalf Dr,
Williston, VT 05495-8802
Ph: (802) 503-2929 | Alexander Lodge, MA
75 Talcott Rd Ste 30,
Williston, VT 05495-8122
Ph: (802) 503-2929 |
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