Kendra Drisdom, - Registered Nurse in Eagle River, AK

Kendra Drisdom, is a Registered Nurse based in Eagle River, Alaska. Kendra Drisdom is licensed to practice in Alaska (license number 112573) and her current practice location is 20435 Granite Park Cir, Eagle River, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 744-1154.

NPI number for Kendra Drisdom is 1336558303 and her current mailing address is 5981 Halibut Ct, Unit A, Jber, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336558303.

Contact Information

Kendra Drisdom,
20435 Granite Park Cir,
Eagle River, AK 99577-8852
(907) 744-1154
Not Available

Map and Direction




Provider's Profile

Full NameKendra Drisdom
GenderFemale
SpecialityRegistered Nurse
Location20435 Granite Park Cir, Eagle River, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336558303
  • Provider Enumeration Date: 08/04/2014
  • Last Update Date: 12/21/2018

Medical Identifiers

Medical identifiers for Kendra Drisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336558303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 7099 (Alaska)Secondary
163W00000XRegistered Nurse 112573 (Alaska)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. Kendra Drisdom 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 AddressPractice Location Address
Kendra Drisdom,
5981 Halibut Ct, Unit A,
Jber, AK 99506-3620

Ph: (907) 782-9284
Kendra Drisdom,
20435 Granite Park Cir,
Eagle River, AK 99577-8852

Ph: (907) 744-1154

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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