Dr Samuel Robert Alexander, DC, LN is a medicare enrolled "Nutritionist" provider in Roseville, Minnesota. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. His current practice location is
1700 S Hwy 36 Service Dr, #400, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 519-0552.
Dr Samuel Robert Alexander is licensed to practice in Minnesota (license number N257) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1134635485.
Healthcare Provider's Profile
| Full Name | Dr Samuel Robert Alexander |
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| Gender | Male |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 5 Years |
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| Location | 1700 S Hwy 36 Service Dr, Roseville, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel Robert Alexander graduated from medical school in 2021
NPI Data:
- NPI Number: 1134635485
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153680137
- Enrollment ID: I20260528003488
Medical Identifiers
Medical identifiers for Dr Samuel Robert Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134635485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6450 (Minnesota) | Secondary |
| 133N00000X | Nutritionist | N257 (Minnesota) | 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. Dr Samuel Robert 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 |
|---|
Dr Samuel Robert Alexander, DC, LN
10725 202nd St W,
Lakeville, MN 55044-7861
Ph: (612) 281-1240 | Dr Samuel Robert Alexander, DC, LN
1700 S Hwy 36 Service Dr, #400,
Roseville, MN 55113-2453
Ph: (507) 519-0552 |
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