Steve T Goniotakis, PAC is a
Physician Assistant based in Cordova, Alaska. Steve T Goniotakis is licensed to practice in Alaska (license number 461) and his current practice location is
110 Nicholoff Way, Ilanka Health Clinic, Cordova, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 424-3622.
NPI number for Steve T Goniotakis is 1770553497 and his current mailing address is Po Box 481, Sterling, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770553497.
Provider's Profile
| Full Name | Steve T Goniotakis |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 110 Nicholoff Way, Cordova, Alaska |
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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: 1770553497
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Steve T Goniotakis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770553497 | NPI | - | NPPES |
| CL7624 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 461 (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. Steve T Goniotakis 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 |
|---|
Steve T Goniotakis, PAC
Po Box 481,
Sterling, AK 99672-0481
Ph: (907) 262-2355 | Steve T Goniotakis, PAC
110 Nicholoff Way, Ilanka Health Clinic,
Cordova, AK 99574
Ph: (907) 424-3622 |
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