Kirsten Marie Petron, LCSW, CDC II is a medicare enrolled "Social Worker - Clinical" provider in Wasilla, Alaska. Her current practice location is
1001 S Knik Goose Bay Rd, Wasilla, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 631-7670.
Kirsten Marie Petron is licensed to practice in Alaska (license number 213013) 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 1902421118.
Healthcare Provider's Profile
Full Name | Kirsten Marie Petron |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902421118
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234670142
- Enrollment ID: I20240919000227
Medical Identifiers
Medical identifiers for Kirsten Marie Petron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902421118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3155 (Alaska) | Secondary |
1041C0700X | Social Worker - Clinical | 213013 (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. Kirsten Marie Petron 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 |
Kirsten Marie Petron, LCSW, CDC II 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (307) 631-7670 | Kirsten Marie Petron, LCSW, CDC II 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 631-7670 |
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