Dr Daniel J Kwak, MD is a medicare enrolled "Pediatrics" physician in Vernal, Utah. His current practice location is
175 N 100 W, Ste 106, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 789-9060.
Dr Daniel J Kwak is licensed to practice in Utah (license number 6321491-1205) 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 1023185444.
Physician's Profile
Full Name | Dr Daniel J Kwak |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 175 N 100 W, Vernal, Utah |
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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: 1023185444
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 05/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 7214105873
- Enrollment ID: I20110726000491
Medical Identifiers
Medical identifiers for Dr Daniel J Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023185444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 6321491-1205 (Utah) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 6321491-1205 (Utah) | Secondary |
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. Dr Daniel J Kwak 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 |
Dr Daniel J Kwak, MD 175 N 100 W, Ste 106, Vernal, UT 84078 Ph: (435) 789-9060 | Dr Daniel J Kwak, MD 175 N 100 W, Ste 106, Vernal, UT 84078 Ph: (435) 789-9060 |
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