ALEXANDRA R PORTUGUES MS - NPI 1396310785 - Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Alexandra Portugues's NPI number?

The NPI number for Alexandra Portugues is 1396310785. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Alexandra Portugues's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Alexandra R Portugues Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA R PORTUGUES MS (NPI 1396310785) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396310785

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRA R PORTUGUESCredential: MS

Location Address2900 W QUEEN LNPhiladelphia, PA 19129-1033

Mailing Address2900 W Queen LnPhiladelphia, PA 19129-1033 · (215) 991-8202

Phone(215) 991-8202

Sole ProprietorNo

Enumeration DateMay 26, 2021

NPPES CertifiedMay 26, 2021

✔ NPI 1396310785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2900 W QUEEN LN, Philadelphia, PA 19129

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra R Portugues Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE GOTTLIEB MD

Psychiatry & Neurology (Psychiatry)

2900 W QUEEN LN, SUITE 221H
PHILADELPHIA, PA 19129

Philadelphia County (215) 991-8532

ANN MARIE MASIELLO

Student in an Organized Health Care Education/Training Program