Kiersten Dykstra, OTR/L, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Pittsburgh, Pennsylvania. Her current practice location is
300 Halket St Ste 4500, Pittsburgh, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 641-6600.
Kiersten Dykstra is licensed to practice in Pennsylvania (license number OA003886) 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 1396162640.
Healthcare Provider's Profile
Full Name | Kiersten Dykstra |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 300 Halket St Ste 4500, Pittsburgh, Pennsylvania |
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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: 1396162640
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 06/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 6406137611
- Enrollment ID: I20161230001069
Medical Identifiers
Medical identifiers for Kiersten Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396162640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | OC013274 (Pennsylvania) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | OA003886 (Pennsylvania) | 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. Kiersten Dykstra 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 |
Kiersten Dykstra, OTR/L, PA-C 201 Franklin Ave, Apt 1, Pittsburgh, PA 15221-2739 Ph: (724) 396-8586 | Kiersten Dykstra, OTR/L, PA-C 300 Halket St Ste 4500, Pittsburgh, PA 15213 Ph: (412) 641-6600 |
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