Alexis Irene Mcclure, PA is a
Physician Assistant physician based in Peru, Indiana. Alexis Irene Mcclure is licensed to practice in Indiana (license number 10005026A) and her current practice location is 750 N Broadway, Peru, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 569-2120.
NPI number for Alexis Irene Mcclure is 1780490235 and her current mailing address is 11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780490235.
Physician's Profile
| Full Name | Alexis Irene Mcclure |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 750 N Broadway, Peru, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780490235
- Provider Enumeration Date: 12/09/2024
- Last Update Date: 10/30/2025
Medical Identifiers
Medical identifiers for Alexis Irene Mcclure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780490235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 99999999999 (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 10005026A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Irene Mcclure 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 |
|---|
Alexis Irene Mcclure, PA
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Alexis Irene Mcclure, PA
750 N Broadway,
Peru, IN 46970-1027
Ph: (260) 569-2120 |
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