Dr Alexandra Herzog, DDS, PHD is a
Student In An Organized Health Care Education/training Program based in Ann Arbor, Michigan. Dr Alexandra Herzog is licensed to practice in Michigan (license number ) and her current practice location is
1011 N University Ave, Ann Arbor, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 764-1540.
NPI number for Dr Alexandra Herzog is 1548080625 and her current mailing address is 1011 N University Ave, Ann Arbor, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548080625.
Healthcare Provider's Profile
| Full Name | Dr Alexandra Herzog |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1011 N University Ave, Ann Arbor, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548080625
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Dr Alexandra Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548080625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2901602168 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | 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 Alexandra Herzog 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 |
|---|
Dr Alexandra Herzog, DDS, PHD
1011 N University Ave,
Ann Arbor, MI 48109-1078
Ph: () - | Dr Alexandra Herzog, DDS, PHD
1011 N University Ave,
Ann Arbor, MI 48109-1078
Ph: (734) 764-1540 |
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