Alexandra Neenan, PHD is a medicare enrolled "Psychologist" provider in Des Moines, Washington. Her current practice location is
26401 Pacific Hwy S Ste 101, Des Moines, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 870-3590.
Alexandra Neenan is licensed to practice in Washington (license number PY61617210) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649913823.
Healthcare Provider's Profile
Full Name | Alexandra Neenan |
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Gender | Female |
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Speciality | Psychologist |
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Location | 26401 Pacific Hwy S Ste 101, Des Moines, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649913823
- Provider Enumeration Date: 04/15/2022
- Last Update Date: 01/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426584558
- Enrollment ID: I20241211004744
Medical Identifiers
Medical identifiers for Alexandra Neenan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649913823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | MC61429743 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | 21254020901 (Michigan) | Secondary |
103T00000X | Psychologist | PY61617210 (Washington) | 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 Neenan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexandra Neenan, PHD 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: (425) 277-1311 | Alexandra Neenan, PHD 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198-9247 Ph: (206) 870-3590 |
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