Indigo Jicha, is a
Registered Nurse based in Sand Point, Alaska. Indigo Jicha is licensed to practice in Alaska (license number 114103) and her current practice location is
172 Red Cove Road, Sand Point, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 383-3151.
NPI number for Indigo Jicha is 1548671944 and her current mailing address is Po Box 1115, Kotzebue, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548671944.
Provider's Profile
| Full Name | Indigo Jicha |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 172 Red Cove Road, Sand Point, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548671944
- Provider Enumeration Date: 05/20/2014
- Last Update Date: 10/06/2022
Medical Identifiers
Medical identifiers for Indigo Jicha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548671944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 114103 (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. Indigo Jicha 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 |
|---|
Indigo Jicha,
Po Box 1115,
Kotzebue, AK 99752-1115
Ph: () - | Indigo Jicha,
172 Red Cove Road,
Sand Point, AK 99661
Ph: (907) 383-3151 |
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