Alisa Marie Moortgat, INTERN is a
Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Alisa Marie Moortgat is licensed to practice in * (Not Available) (license number ) and her current practice location is
6801 Jefferson St Ne Ste 301, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 705-1701.
NPI number for Alisa Marie Moortgat is 1962182063 and her current mailing address is 5601 Addis Ave Se, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962182063.
Healthcare Provider's Profile
Full Name | Alisa Marie Moortgat |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6801 Jefferson St Ne Ste 301, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962182063
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 07/24/2023
Medical Identifiers
Medical identifiers for Alisa Marie Moortgat such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962182063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (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. Alisa Marie Moortgat 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 |
Alisa Marie Moortgat, INTERN 5601 Addis Ave Se, Albuquerque, NM 87106-9616 Ph: (571) 271-5650 | Alisa Marie Moortgat, INTERN 6801 Jefferson St Ne Ste 301, Albuquerque, NM 87109-7390 Ph: (505) 705-1701 |
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