Kisa A Pentarek, is a
Counselor - Professional based in Everson, Pennsylvania. Kisa A Pentarek is licensed to practice in Pennsylvania (license number PC013680) and her current practice location is
329 Brown St, Everson, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 757-4123.
NPI number for Kisa A Pentarek is 1497426142 and her current mailing address is Po Box 121, Everson, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497426142.
Healthcare Provider's Profile
Full Name | Kisa A Pentarek |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 329 Brown St, Everson, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497426142
- Provider Enumeration Date: 09/22/2021
- Last Update Date: 09/22/2021
Medical Identifiers
Medical identifiers for Kisa A Pentarek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497426142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC013680 (Pennsylvania) | 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. Kisa A Pentarek 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 |
Kisa A Pentarek, Po Box 121, Everson, PA 15631-0121 Ph: (724) 757-4123 | Kisa A Pentarek, 329 Brown St, Everson, PA 15631-1001 Ph: (724) 757-4123 |
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