Mr Lucillous P Alexander, PA in Longview, TX - Medicare Physician Assistant

Mr Lucillous P Alexander, PA is a medicare enrolled "Physician Assistant - Medical" in Longview, Texas. His current practice location is 1207a E Marshall Ave, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 907-7003.

Mr Lucillous P Alexander is licensed to practice in Texas (license number PA06875) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215228119.

Contact Information

	Mr Lucillous P Alexander, PA
	1207a E Marshall Ave, Longview, TX 75601-5604
	(903) 907-7003
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Lucillous P Alexander
Gender	Male
Speciality	Physician Assistant - Medical
Location	1207a E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215228119
Provider Enumeration Date: 04/26/2011
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5597040048
Enrollment ID: I20170323001283

Medical Identifiers

Medical identifiers for Mr Lucillous P Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215228119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA06875 (Texas)	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. Mr Lucillous P Alexander 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
Mr Lucillous P Alexander, PA Po Box 746079, Atlanta, GA 30374-6079 Ph: () -	Mr Lucillous P Alexander, PA 1207a E Marshall Ave, Longview, TX 75601-5604 Ph: (903) 907-7003

Reviews and Comments

Physician Assistant Nurses in Longview, TX

Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127
Randy Ranshawn Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801
Ms. Ashley Briana-marie Gentry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr # 200, Longview, TX 75605 Phone: 903-235-9787 Fax: 903-291-6155
Michael L. Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 Fax: 903-238-9183

Mr Lucillous P Alexander, PA - Medicare Physician Assistant in Longview, TX