Ira Kotlik-konev, is a
Student In An Organized Health Care Education/training Program based in Concord, California. Ira Kotlik-konev is licensed to practice in * (Not Available) (license number ) and her current practice location is
1333 Willow Pass Rd, Suite 102, Concord, California. She can be reached at her office (for appointments etc.) via phone at
(925) 825-1793.
NPI number for Ira Kotlik-konev is 1326247487 and her current mailing address is 1333 Willow Pass Rd, Suite 102, Concord, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326247487.
Healthcare Provider's Profile
| Full Name | Ira Kotlik-konev |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1333 Willow Pass Rd, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326247487
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 08/12/2010
Medical Identifiers
Medical identifiers for Ira Kotlik-konev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326247487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (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. Ira Kotlik-konev 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 |
|---|
Ira Kotlik-konev,
1333 Willow Pass Rd, Suite 102,
Concord, CA 94520-7930
Ph: (925) 825-1793 | Ira Kotlik-konev,
1333 Willow Pass Rd, Suite 102,
Concord, CA 94520-7930
Ph: (925) 825-1793 |
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