Alejandro Antonio Tavira, CG 60475423 is a
Peer Specialist based in University Place, Washington. Alejandro Antonio Tavira is licensed to practice in * (Not Available) (license number ) and his current practice location is
7610 40th St W Ste 300, University Place, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 830-6242.
NPI number for Alejandro Antonio Tavira is 1588136048 and his current mailing address is 8222 E B St, Tacoma, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588136048.
Healthcare Provider's Profile
| Full Name | Alejandro Antonio Tavira |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 7610 40th St W Ste 300, University Place, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588136048
- Provider Enumeration Date: 12/21/2018
- Last Update Date: 09/05/2019
Medical Identifiers
Medical identifiers for Alejandro Antonio Tavira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588136048 | NPI | - | NPPES |
| CG60475423 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | CG60475423 (Washington) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Alejandro Antonio Tavira 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 |
Alejandro Antonio Tavira, CG 60475423 8222 E B St, Tacoma, WA 98404-1031 Ph: (253) 720-5739 | Alejandro Antonio Tavira, CG 60475423 7610 40th St W Ste 300, University Place, WA 98466-3834 Ph: (253) 830-6242 |
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