Alexandria Marie Kotran, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Alexandria Marie Kotran is licensed to practice in California (license number 100240) 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 Alexandria Marie Kotran is 1245759042 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 1245759042.
Healthcare Provider's Profile
| Full Name | Alexandria Marie Kotran |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245759042
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Alexandria Marie Kotran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245759042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 100240 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 100240 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 100240 (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. Alexandria Marie Kotran 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 |
|---|
Alexandria Marie Kotran,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Alexandria Marie Kotran,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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