| Calmkey Telehealth Connection, Llc | |
|
565 University Ave Ste 4e Fairbanks AK 99709-3688 | |
| (907) 378-8702 | |
| (907) 328-4006 |
| Full Name | Calmkey Telehealth Connection, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 565 University Ave Ste 4e, Fairbanks, Alaska |
| Authorized Official Name and Position | Rebekah Burket (OWNER) |
| Authorized Official Contact | 9073788702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calmkey Telehealth Connection, Llc Po Box 82264 Fairbanks AK 99708-2264 Ph: (907) 378-8702 | Calmkey Telehealth Connection, Llc 565 University Ave Ste 4e Fairbanks AK 99709-3688 Ph: (907) 378-8702 |
| NPI Number | 1639804263 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 8921482167 |
|---|---|
| Medicare Enrollment ID | O20220907001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639804263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebekah Burket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013399708 PECOS PAC ID: 4587905633 Enrollment ID: I20190418000202 |
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