Johnathan Skoog, is a
Peer Specialist based in Eagle River, Alaska. Johnathan Skoog is licensed to practice in * (Not Available) (license number ) and his current practice location is
8012 Stewart Mountain Dr, Eagle River, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 694-3336.
NPI number for Johnathan Skoog is 1114544152 and his current mailing address is 2600 Cordova St Ste 101, Anchorage, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114544152.
Healthcare Provider's Profile
| Full Name | Johnathan Skoog |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 8012 Stewart Mountain Dr, Eagle River, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114544152
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Johnathan Skoog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114544152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Johnathan Skoog 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 |
|---|
Johnathan Skoog,
2600 Cordova St Ste 101,
Anchorage, AK 99503-2745
Ph: (907) 279-9640 | Johnathan Skoog,
8012 Stewart Mountain Dr,
Eagle River, AK 99577-9013
Ph: (907) 694-3336 |
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