Kenneth D Brewer, RDN is a medicare enrolled "Physician Assistant" provider in Fairbanks, Alaska. His current practice location is
1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-6943.
Kenneth D Brewer is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871089052.
Healthcare Provider's Profile
Full Name | Kenneth D Brewer |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1650 Cowles St, Fairbanks, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871089052
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840669230
- Enrollment ID: I20221206003470
Medical Identifiers
Medical identifiers for Kenneth D Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871089052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (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. Kenneth D Brewer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth D Brewer, RDN 1010 8th Ave, Fairbanks, AK 99701-4437 Ph: (907) 854-3391 | Kenneth D Brewer, RDN 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 458-6943 |
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