Dakota Chase Ecklund, is a
Licensed Practical Nurse based in Derby, Kansas. Dakota Chase Ecklund is licensed to practice in Kansas (license number 23-51030-061) and his current practice location is
510 S Westview Dr, Derby, Kansas. He can be reached at his office (for appointments etc.) via phone at
(316) 869-6961.
NPI number for Dakota Chase Ecklund is 1376310979 and his current mailing address is 2012 S Edmunds St, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376310979.
Provider's Profile
| Full Name | Dakota Chase Ecklund |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 510 S Westview Dr, Derby, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376310979
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 12/05/2023
Medical Identifiers
Medical identifiers for Dakota Chase Ecklund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376310979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 23-51030-061 (Kansas) | 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. Dakota Chase Ecklund 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 |
|---|
Dakota Chase Ecklund,
2012 S Edmunds St,
Seattle, WA 98108-1927
Ph: () - | Dakota Chase Ecklund,
510 S Westview Dr,
Derby, KS 67037-1340
Ph: (316) 869-6961 |
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