Alexis Grace Garcia Coan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. Her current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-8211.
Alexis Grace Garcia Coan is licensed to practice in Oregon (license number PG205011) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124607528.
Physician's Profile
Full Name | Alexis Grace Garcia Coan |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124607528
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 03/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719381227
- Enrollment ID: I20210805001857
Medical Identifiers
Medical identifiers for Alexis Grace Garcia Coan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124607528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | V5743 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | PG205011 (Oregon) | 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. Alexis Grace Garcia Coan 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 |
Alexis Grace Garcia Coan, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211 | Alexis Grace Garcia Coan, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8211 |
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