Craig Joseph Alexander, PHD is a medicare enrolled "Psychologist - Clinical" provider in Palm Coast, Florida. His current practice location is
17 Lakeside Pl W, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at
(775) 762-7008.
Craig Joseph Alexander is licensed to practice in Alabama (license number 1408) 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 1174566855.
Healthcare Provider's Profile
| Full Name | Craig Joseph Alexander |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 17 Lakeside Pl W, Palm Coast, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174566855
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 03/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759394737
- Enrollment ID: I20240819000138
Medical Identifiers
Medical identifiers for Craig Joseph Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174566855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 1408 (Alabama) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 1408 (Alabama) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 1408 (Alabama) | Secondary |
| 103TH0004X | Psychologist - Health | 1408 (Alabama) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 1408 (Alabama) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1408 (Alabama) | Primary |
| 106H00000X | Marriage & Family Therapist | 1408 (Alabama) | Secondary |
| 103TF0000X | Psychologist - Family | 1408 (Alabama) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Craig Joseph Alexander allows following entities to bill medicare on his behalf.
| Entity Name | Sustainable Rehabilitation Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962245274
PECOS PAC ID: 2860935335
Enrollment ID: O20240625002336 |
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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. Craig Joseph 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 |
|---|
Craig Joseph Alexander, PHD
17 Lakeside Pl W,
Palm Coast, FL 32137-3415
Ph: (386) 585-2177 | Craig Joseph Alexander, PHD
17 Lakeside Pl W,
Palm Coast, FL 32137-3415
Ph: (775) 762-7008 |
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