Alisa Beth Fajkus, CNM is a
Advanced Practice Midwife based in Kirksville, Missouri. Alisa Beth Fajkus is licensed to practice in * (Not Available) (license number ) and her current practice location is
402 W Jefferson St, Kirksville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 665-3555.
NPI number for Alisa Beth Fajkus is 1689355687 and her current mailing address is 1416 Crown Dr, Kirksville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689355687.
Provider's Profile
Full Name | Alisa Beth Fajkus |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 402 W Jefferson St, Kirksville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689355687
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 05/30/2024
Medical Identifiers
Medical identifiers for Alisa Beth Fajkus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689355687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WX0003X | Registered Nurse - Obstetric, Inpatient | 2013025730 (Missouri) | Secondary |
367A00000X | Advanced Practice Midwife | (* (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. Alisa Beth Fajkus 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 |
Alisa Beth Fajkus, CNM 1416 Crown Dr, Kirksville, MO 63501-2548 Ph: (660) 627-5757 | Alisa Beth Fajkus, CNM 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 665-3555 |
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