Deserae Stellwag, is a
Counselor based in Tatitlek, Alaska. Deserae Stellwag is licensed to practice in Alaska (license number ) and her current practice location is
505 Copper Mountain Street, Tatitlek, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 325-2235.
NPI number for Deserae Stellwag is 1477243947 and her current mailing address is Po Box 172, Tatitlek, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477243947.
Healthcare Provider's Profile
| Full Name | Deserae Stellwag |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 505 Copper Mountain Street, Tatitlek, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477243947
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Deserae Stellwag such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477243947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (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. Deserae Stellwag 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 |
|---|
Deserae Stellwag,
Po Box 172,
Tatitlek, AK 99677-0172
Ph: (907) 325-2235 | Deserae Stellwag,
505 Copper Mountain Street,
Tatitlek, AK 99677
Ph: (907) 325-2235 |
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