Kirsten Marie Petron, LCSW, CDC II is a
Social Worker - Clinical based in Wasilla, Alaska. Kirsten Marie Petron is licensed to practice in Alaska (license number 213013) and her current practice location is
1001 S Knik Goose Bay Rd, Wasilla, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 631-7670.
NPI number for Kirsten Marie Petron is 1902421118 and her current mailing address is 1001 S Knik Goose Bay Rd, Wasilla, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902421118.
Healthcare Provider's Profile
| Full Name | Kirsten Marie Petron |
|---|
| 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902421118
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 07/29/2024
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
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 |
|---|
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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