Alexandra N Van Dyke, is a
Student In An Organized Health Care Education/training Program based in Berkeley, California. Alexandra N Van Dyke is licensed to practice in * (Not Available) (license number ) and her current practice location is
1255 Allston Way, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at
(707) 239-6990.
NPI number for Alexandra N Van Dyke is 1326676859 and her current mailing address is 100 Bayo Vista Way Apt 66, San Rafael, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326676859.
Healthcare Provider's Profile
| Full Name | Alexandra N Van Dyke |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1255 Allston Way, Berkeley, 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: 1326676859
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 05/22/2024
Medical Identifiers
Medical identifiers for Alexandra N Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326676859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Alexandra N Van Dyke 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 |
|---|
Alexandra N Van Dyke,
100 Bayo Vista Way Apt 66,
San Rafael, CA 94901-8209
Ph: (707) 239-6990 | Alexandra N Van Dyke,
1255 Allston Way,
Berkeley, CA 94702-1833
Ph: (707) 239-6990 |
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