Amanda Iverson, is a
Community Health Worker based in Ketchikan, Alaska. Amanda Iverson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3356 Dale St, Ketchikan, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 225-7825.
NPI number for Amanda Iverson is 1063018562 and her current mailing address is 721 Stedman St, Ketchikan, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063018562.
Healthcare Provider's Profile
| Full Name | Amanda Iverson |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3356 Dale St, Ketchikan, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063018562
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Amanda Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063018562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Amanda Iverson 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 |
Amanda Iverson, 721 Stedman St, Ketchikan, AK 99901-6632 Ph: (907) 225-7825 | Amanda Iverson, 3356 Dale St, Ketchikan, AK 99901-5626 Ph: (907) 225-7825 |
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