Daniel Thomas Knudsen, PA-C is a medicare enrolled "Physician Assistant" in Joint Base Elmendorf Richardson, Alaska. His current practice location is
786 D St, Joint Base Elmendorf Richardson, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 384-0600.
Daniel Thomas Knudsen is licensed to practice in * (Not Available) (license number 1145170) 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 1124537550.
Provider's Profile
Full Name | Daniel Thomas Knudsen |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 786 D St, Joint Base Elmendorf Richardson, 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: 1124537550
- Provider Enumeration Date: 09/28/2017
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012353220
- Enrollment ID: I20240311001960
Medical Identifiers
Medical identifiers for Daniel Thomas Knudsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124537550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1145170 (* (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. Daniel Thomas Knudsen 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 |
Daniel Thomas Knudsen, PA-C 19340 Upper Skyline Dr, Eagle River, AK 99577-7954 Ph: (646) 207-4642 | Daniel Thomas Knudsen, PA-C 786 D St, Joint Base Elmendorf Richardson, AK 99508 Ph: (907) 384-0600 |
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