Sarah Kw Spark, is a
Peer Specialist based in Republic, Washington. Sarah Kw Spark is licensed to practice in Washington (license number CG60871216) and her current practice location is
65 N Keller, Republic, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 775-3341.
NPI number for Sarah Kw Spark is 1679049258 and her current mailing address is 65 N Keller, Republic, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679049258.
Healthcare Provider's Profile
| Full Name | Sarah Kw Spark |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 65 N Keller, Republic, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679049258
- Provider Enumeration Date: 10/22/2018
- Last Update Date: 06/09/2022
Medical Identifiers
Medical identifiers for Sarah Kw Spark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679049258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60871216 (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG60871216 (Washington) | 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. Sarah Kw Spark 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 |
|---|
Sarah Kw Spark,
65 N Keller,
Republic, WA 99166
Ph: (509) 775-3341 | Sarah Kw Spark,
65 N Keller,
Republic, WA 99166
Ph: (509) 775-3341 |
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