Kristina Louise Derksen, PEER SUPPORT is a
Peer Specialist based in Bend, Oregon. Kristina Louise Derksen is licensed to practice in * (Not Available) (license number ) and her current practice location is
2577 Ne Courtney Dr, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 322-7500.
NPI number for Kristina Louise Derksen is 1376932897 and her current mailing address is 2577 Ne Courtney Dr, Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376932897.
Healthcare Provider's Profile
| Full Name | Kristina Louise Derksen |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2577 Ne Courtney Dr, Bend, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376932897
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 12/11/2020
Medical Identifiers
Medical identifiers for Kristina Louise Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376932897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Kristina Louise Derksen 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 |
|---|
Kristina Louise Derksen, PEER SUPPORT
2577 Ne Courtney Dr,
Bend, OR 97701-7752
Ph: (541) 322-7500 | Kristina Louise Derksen, PEER SUPPORT
2577 Ne Courtney Dr,
Bend, OR 97701-7752
Ph: (541) 322-7500 |
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