Karissa Ann Gondak, is a
Student In An Organized Health Care Education/training Program based in Morgantown, West Virginia. Karissa Ann Gondak is licensed to practice in * (Not Available) (license number ) and her current practice location is
161 Bakers Ridge Rd, Morgantown, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 285-0692.
NPI number for Karissa Ann Gondak is 1568079119 and her current mailing address is 161 Bakers Ridge Rd, Morgantown, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568079119.
Healthcare Provider's Profile
| Full Name | Karissa Ann Gondak |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 161 Bakers Ridge Rd, Morgantown, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568079119
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 09/30/2020
Medical Identifiers
Medical identifiers for Karissa Ann Gondak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568079119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (West Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Karissa Ann Gondak 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 |
|---|
Karissa Ann Gondak,
161 Bakers Ridge Rd,
Morgantown, WV 26508-1459
Ph: (304) 285-0692 | Karissa Ann Gondak,
161 Bakers Ridge Rd,
Morgantown, WV 26508-1459
Ph: (304) 285-0692 |
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