Alexis Vantiem, is a
Physician Assistant based in Superior, Montana. Alexis Vantiem is licensed to practice in Montana (license number MED-PAC-LIC-145618) and her current practice location is
1208 6th Ave, Superior, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 822-4841.
NPI number for Alexis Vantiem is 1124706627 and her current mailing address is 1208 6th Ave, Superior, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124706627.
Provider's Profile
Full Name | Alexis Vantiem |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1208 6th Ave, Superior, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124706627
- Provider Enumeration Date: 07/06/2023
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Alexis Vantiem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124706627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MED-PAC-LIC-145618 (Montana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Vantiem 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 Vantiem, 1208 6th Ave, Superior, MT 59872-9667 Ph: (406) 822-4841 | Alexis Vantiem, 1208 6th Ave, Superior, MT 59872-9667 Ph: (406) 822-4841 |
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