Alexandra Koontz, PA-C in Crown Point, IN - Medicare Physician Assistant

Alexandra Koontz, PA-C is a medicare enrolled "Physician Assistant" in Crown Point, Indiana. Her current practice location is 12750 Saint Francis Dr Ste 320, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 662-0077.

Alexandra Koontz is licensed to practice in Indiana (license number 10004186A) 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 1114703063.

Contact Information

	Alexandra Koontz, PA-C
	12750 Saint Francis Dr Ste 320, Crown Point, IN 46307-0264
	(219) 662-0077
	(219) 662-9496

Provider's Profile

Full Name	Alexandra Koontz
Gender	Female
Speciality	Physician Assistant
Location	12750 Saint Francis Dr Ste 320, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114703063
Provider Enumeration Date: 09/06/2023
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7416306717
Enrollment ID: I20231212003028

Medical Identifiers

Medical identifiers for Alexandra Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114703063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	10004186A (Indiana)	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. Alexandra Koontz 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
Alexandra Koontz, PA-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Alexandra Koontz, PA-C 12750 Saint Francis Dr Ste 320, Crown Point, IN 46307-0264 Ph: (219) 662-0077

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Physician Assistant Nurses in Crown Point, IN

Megan Blahut, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 E Summit St, Crown Point, IN 46307 Phone: 219-228-4224
Michael Jason Bohney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 E 109th Ave, Crown Point, IN 46307 Phone: 219-921-1444 Fax: 219-921-5303
Heather C Upchurch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 W 94th Place, Crown Point, IN 46307 Phone: 219-662-8822 Fax: 219-662-8833
Eileen M Stulgis, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496
Nalini Kandallu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6320 Fax: 219-738-6714
Megan Supan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5521 W Lincoln Hwy Ste 1a, Crown Point, IN 46307 Phone: 219-769-1362

Alexandra Koontz, PA-C - Medicare Physician Assistant in Crown Point, IN