Brooke Vanessa Cordova, PA-C in Fairbanks, AK - Medicare Physician Assistant

Brooke Vanessa Cordova, PA-C is a medicare enrolled "Physician Assistant" in Fairbanks, Alaska. Her current practice location is 1001 Noble St Ste 1, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3520.

Brooke Vanessa Cordova is licensed to practice in Alaska (license number 164786) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477821130.

Contact Information

	Brooke Vanessa Cordova, PA-C
	1001 Noble St Ste 1, Fairbanks, AK 99701-4991
	(907) 459-3520
	(907) 459-3541

Map and Direction

Provider's Profile

Full Name	Brooke Vanessa Cordova
Gender	Female
Speciality	Physician Assistant
Location	1001 Noble St Ste 1, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477821130
Provider Enumeration Date: 12/09/2011
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0547557043
Enrollment ID: I20160927002901

Medical Identifiers

Medical identifiers for Brooke Vanessa Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477821130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9106366 (Florida)	Secondary
363A00000X	Physician Assistant	164786 (Alaska)	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. Brooke Vanessa Cordova 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
Brooke Vanessa Cordova, PA-C Po Box 73720, Fairbanks, AK 99707-3720 Ph: (814) 594-1319	Brooke Vanessa Cordova, PA-C 1001 Noble St Ste 1, Fairbanks, AK 99701-4991 Ph: (907) 459-3520

Reviews and Comments

Physician Assistant Nurses in Fairbanks, AK

Garrick Andrew Olsen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-451-6682
Heather Koponen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1408 19th Ave, Fairbanks, AK 99701 Phone: 907-451-6682 Fax: 907-459-3912
Michael J Roylance, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1717 West Cowles Street, Fairbanks, AK 99701 Phone: 907-378-1997 Fax: 907-458-3811
Jeri A Reid, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5556
Tatiana Carlin Olson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-458-2682 Fax: 907-458-2628
Mrs. Allison Cooper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2310 Peger Rd Suite 105, Fairbanks, AK 99709 Phone: 907-978-2842
Mrs. Jodee Lynn Deutsch Trivette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-6943

Brooke Vanessa Cordova, PA-C - Medicare Physician Assistant in Fairbanks, AK