Mcdonald Elliot Porter, is a
Student In An Organized Health Care Education/training Program based in Alameda, California. Mcdonald Elliot Porter is licensed to practice in * (Not Available) (license number ) and his current practice location is
2325 Clement Ave, Alameda, California. He can be reached at his office (for appointments etc.) via phone at
(510) 629-6309.
NPI number for Mcdonald Elliot Porter is 1700460904 and his current mailing address is 2222 Derby St, Berkeley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700460904.
Healthcare Provider's Profile
| Full Name | Mcdonald Elliot Porter |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2325 Clement Ave, Alameda, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700460904
- Provider Enumeration Date: 05/12/2021
- Last Update Date: 08/23/2022
Medical Identifiers
Medical identifiers for Mcdonald Elliot Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700460904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (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. Mcdonald Elliot Porter 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 |
|---|
Mcdonald Elliot Porter,
2222 Derby St,
Berkeley, CA 94705-1018
Ph: (201) 954-1659 | Mcdonald Elliot Porter,
2325 Clement Ave,
Alameda, CA 94501-7063
Ph: (510) 629-6309 |
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