Jordan Beard, | |
3449 E Rezanof Dr, Kodiak, AK 99615-6952 | |
(907) 942-0672 | |
Not Available |
Full Name | Jordan Beard |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3449 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073175212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 219869 (Alaska) | Primary |
Entity Name | Kodiak Area Native Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838 |
Mailing Address | Practice Location Address |
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Jordan Beard, 3449 E Rezanof Dr, Kodiak, AK 99615-6952 Ph: () - | Jordan Beard, 3449 E Rezanof Dr, Kodiak, AK 99615-6952 Ph: (907) 942-0672 |
Veronica Angelica Samaniego, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 Fax: 907-481-2419 | |
Michael Handricks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9824 Fax: 907-486-3498 | |
Mr. Ken E Mccarty, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Simeonof St, Kodiak, AK 99615 Phone: 530-515-1089 Fax: 530-241-9221 | |
Stephanie M Mccarter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2434 | |
Mr. Phillip Anthony Jordinelli, CDCS, NCACI, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9823 Fax: 907-486-9898 | |
Hope Lee Livingston Rustemeyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-7383 |