Julian Kvasnikoff, is a
Community Health Worker based in Ketchikan, Alaska. Julian Kvasnikoff is licensed to practice in * (Not Available) (license number ) and his current practice location is
501 Pine St, Ketchikan, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 225-7825.
NPI number for Julian Kvasnikoff is 1942806450 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942806450.
Healthcare Provider's Profile
| Full Name | Julian Kvasnikoff |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
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| Location | 501 Pine St, Ketchikan, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942806450
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Julian Kvasnikoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942806450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Julian Kvasnikoff 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 |
|---|
Julian Kvasnikoff,
721 Stedman St,
Ketchikan, AK 99901-6632
Ph: (907) 225-7825 | Julian Kvasnikoff,
501 Pine St,
Ketchikan, AK 99901-6326
Ph: (907) 225-7825 |
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