Alisa Marie Moortgat, INTERN in Albuquerque, NM - Student in an Organized Health Care Education/Training Program

Alisa Marie Moortgat, INTERN is a Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Alisa Marie Moortgat is licensed to practice in * (Not Available) (license number ) and her current practice location is 6801 Jefferson St Ne Ste 301, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 705-1701.

NPI number for Alisa Marie Moortgat is 1962182063 and her current mailing address is 5601 Addis Ave Se, Albuquerque, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962182063.

Contact Information

	Alisa Marie Moortgat, INTERN
	6801 Jefferson St Ne Ste 301, Albuquerque, NM 87109-7390
	(505) 705-1701
	(505) 212-1253

Healthcare Provider's Profile

Full Name	Alisa Marie Moortgat
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	6801 Jefferson St Ne Ste 301, Albuquerque, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1962182063
Provider Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023

Medical Identifiers

Medical identifiers for Alisa Marie Moortgat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962182063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (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. Alisa Marie Moortgat 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
Alisa Marie Moortgat, INTERN 5601 Addis Ave Se, Albuquerque, NM 87106-9616 Ph: (571) 271-5650	Alisa Marie Moortgat, INTERN 6801 Jefferson St Ne Ste 301, Albuquerque, NM 87109-7390 Ph: (505) 705-1701

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