Alexis Julia Bracken, is a
Student In An Organized Health Care Education/training Program based in Torrance, California. Alexis Julia Bracken is licensed to practice in * (Not Available) (license number ) and her current practice location is
2205 W 237th St, Torrance, California. She can be reached at her office (for appointments etc.) via phone at
(321) 698-5960.
NPI number for Alexis Julia Bracken is 1720850829 and her current mailing address is 2205 W 237th St, Torrance, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720850829.
Provider's Profile
| Full Name | Alexis Julia Bracken |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2205 W 237th St, Torrance, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720850829
- Provider Enumeration Date: 10/23/2023
- Last Update Date: 10/23/2023
Medical Identifiers
Medical identifiers for Alexis Julia Bracken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720850829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (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. Alexis Julia Bracken 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 |
|---|
Alexis Julia Bracken,
2205 W 237th St,
Torrance, CA 90501-5904
Ph: () - | Alexis Julia Bracken,
2205 W 237th St,
Torrance, CA 90501-5904
Ph: (321) 698-5960 |
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