Miss Alexandra Gray Ryan, is a
Student In An Organized Health Care Education/training Program based in Hollywood, South Carolina. Miss Alexandra Gray Ryan is licensed to practice in * (Not Available) (license number ) and her current practice location is
4710 Hard Scuffle Ln, Hollywood, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(854) 500-6432.
NPI number for Miss Alexandra Gray Ryan is 1083479620 and her current mailing address is 4710 Hard Scuffle Ln, Hollywood, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083479620.
Provider's Profile
| Full Name | Miss Alexandra Gray Ryan |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4710 Hard Scuffle Ln, Hollywood, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083479620
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Miss Alexandra Gray Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083479620 | 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. Miss Alexandra Gray Ryan 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 |
|---|
Miss Alexandra Gray Ryan,
4710 Hard Scuffle Ln,
Hollywood, SC 29449-5781
Ph: (854) 500-6432 | Miss Alexandra Gray Ryan,
4710 Hard Scuffle Ln,
Hollywood, SC 29449-5781
Ph: (854) 500-6432 |
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