Alise Peckjian, MD is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Alise Peckjian is licensed to practice in * (Not Available) (license number ) and her current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 590-7131.
NPI number for Alise Peckjian is 1215558499 and her current mailing address is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215558499.
Physician's Profile
| Full Name | Alise Peckjian |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215558499
- Provider Enumeration Date: 04/29/2020
- Last Update Date: 07/15/2023
Medical Identifiers
Medical identifiers for Alise Peckjian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215558499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD481018 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MT220666 (Pennsylvania) | 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. Alise Peckjian 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 |
|---|
Alise Peckjian, MD
3401 Civic Center Blvd,
Philadelphia, PA 19104-4319
Ph: () - | Alise Peckjian, MD
3401 Civic Center Blvd,
Philadelphia, PA 19104-4319
Ph: (215) 590-7131 |
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