Grace Coen, is a
Student In An Organized Health Care Education/training Program based in Ellsworth Afb, South Dakota. Grace Coen is licensed to practice in * (Not Available) (license number ) and her current practice location is
2900 Doolittle Dr, Ellsworth Afb, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 385-3657.
NPI number for Grace Coen is 1629779137 and her current mailing address is 804 Park Ave Apt 304, Omaha, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629779137.
Healthcare Provider's Profile
| Full Name | Grace Coen |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629779137
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Grace Coen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629779137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D11795 (Oregon) | 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. Grace Coen 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 |
|---|
Grace Coen,
804 Park Ave Apt 304,
Omaha, NE 68105-2170
Ph: (641) 831-0257 | Grace Coen,
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
Ph: (605) 385-3657 |
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