Ciara Jordan Stoutenburgh, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Anchorage, Alaska. Her current practice location is
7033 E Tudor Rd, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 729-4955.
Ciara Jordan Stoutenburgh is licensed to practice in Alaska (license number 200275) 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 1902140130.
Healthcare Provider's Profile
| Full Name | Ciara Jordan Stoutenburgh |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 7033 E Tudor Rd, Anchorage, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902140130
- Provider Enumeration Date: 11/09/2012
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224408026
- Enrollment ID: I20230111001802
Medical Identifiers
Medical identifiers for Ciara Jordan Stoutenburgh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902140130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 200275 (Alaska) | 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. Ciara Jordan Stoutenburgh 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 |
|---|
Ciara Jordan Stoutenburgh, PA-C
7033 E Tudor Rd,
Anchorage, AK 99507-1262
Ph: (907) 729-4955 | Ciara Jordan Stoutenburgh, PA-C
7033 E Tudor Rd,
Anchorage, AK 99507-1262
Ph: (907) 729-4955 |
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