Stevona Jessica Loe Burks, M ED, SUDP, INTERN is a
Student In An Organized Health Care Education/training Program based in Everett, Washington. Stevona Jessica Loe Burks is licensed to practice in Washington (license number CG61460342) and her current practice location is
4526 Federal Ave, Everett, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 349-6200.
NPI number for Stevona Jessica Loe Burks is 1073163200 and her current mailing address is 4526 Federal Ave, Everett, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073163200.
Healthcare Provider's Profile
| Full Name | Stevona Jessica Loe Burks |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4526 Federal Ave, Everett, Washington |
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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: 1073163200
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Stevona Jessica Loe Burks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073163200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP61094387 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | CG61460342 (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. Stevona Jessica Loe Burks 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 |
|---|
Stevona Jessica Loe Burks, M ED, SUDP, INTERN
4526 Federal Ave,
Everett, WA 98203-2132
Ph: (425) 349-6200 | Stevona Jessica Loe Burks, M ED, SUDP, INTERN
4526 Federal Ave,
Everett, WA 98203-2132
Ph: (425) 349-6200 |
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