Mat-su Integrative Medicine is a
Family Medicine based in Wasilla, Alaska. Mat-su Integrative Medicine is licensed to practice in Alaska (license number AK5545) and their current practice location is
545 N Knik St, Unit B, Wasilla, Alaska. It can be reached at their office (for appointments etc.) via phone at
(907) 357-2322.
NPI number for Mat-su Integrative Medicine is 1649584566 and their current mailing address is 545 N Knik St, Unit B, Wasilla, Alaska. Mat-su Integrative Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1649584566.
Healthcare Provider's Profile
| Full Name | Mat-su Integrative Medicine |
|---|
| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 545 N Knik St, Wasilla, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649584566
- Provider Enumeration Date: 08/03/2010
- Last Update Date: 08/03/2010
Medical Identifiers
Medical identifiers for Mat-su Integrative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649584566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AK134 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | AK5699 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | AK5545 (Alaska) | Primary |
| 364SW0102X | Clinical Nurse Specialist - Women's Health | AK560 (Alaska) | Secondary |
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. Mat-su Integrative Medicine 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 |
|---|
Mat-su Integrative Medicine
545 N Knik St, Unit B,
Wasilla, AK 99654-7022
Ph: (907) 357-2322 | Mat-su Integrative Medicine
545 N Knik St, Unit B,
Wasilla, AK 99654-7022
Ph: (907) 357-2322 |
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