Alexis Moffa, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Columbia, South Carolina. Her current practice location is
9 Richland Medical Park Dr, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 434-7606.
Alexis Moffa is licensed to practice in * (Not Available) (license number ) 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 1922703321.
Physician's Profile
Full Name | Alexis Moffa |
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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 | 9 Richland Medical Park Dr, Columbia, South Carolina |
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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: 1922703321
- Provider Enumeration Date: 04/04/2023
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163886391
- Enrollment ID: I20230906004039
Medical Identifiers
Medical identifiers for Alexis Moffa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922703321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | LL89914 (South Carolina) | 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. Alexis Moffa 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 |
Alexis Moffa, 9 Richland Medical Park Dr, Columbia, SC 29203-6859 Ph: () - | Alexis Moffa, 9 Richland Medical Park Dr, Columbia, SC 29203-6859 Ph: (803) 434-7606 |
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