Ann Olack, RD, LDN | |
3340 Providence Dr Ste A453, Anchorage, AK 99508-4691 | |
(907) 212-7982 | |
(907) 212-7981 |
Full Name | Ann Olack |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3340 Providence Dr Ste A453, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184963027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | L004075 (North Carolina) | Secondary |
133V00000X | Dietitian, Registered | 102994 (Alaska) | Primary |
Provider Name | Providence Health & Services Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525 |
Mailing Address | Practice Location Address |
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Ann Olack, RD, LDN Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068 | Ann Olack, RD, LDN 3340 Providence Dr Ste A453, Anchorage, AK 99508-4691 Ph: (907) 212-7982 |
Marilyn Cunningham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3200 Providence Dr, E Tower, Suite 3030, Anchorage, AK 99508 Phone: 907-212-7980 Fax: 907-212-7981 | |
Olivia Britton, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3340 Providence Dr Ste A453, Anchorage, AK 99508 Phone: 907-212-7982 Fax: 907-212-7981 | |
Grace Kathleen Champion, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-2677 | |
Heather Poe, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5301 Little Tree St, Anchorage, AK 99507 Phone: 907-223-5500 | |
Sally L. Coburn, NP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3300 Arctic Blvd, Ste 101, Anchorage, AK 99503 Phone: 907-561-3488 Fax: 907-562-3488 | |
Sabrina Kay Cabana, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7900 Evander Dr, Anchorage, AK 99518 Phone: 907-229-3395 | |
Jeremiah Lee Britton, MS RD CDCES BC-ADM Dietitian Medicare: Medicare Enrolled Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-268-5585 Fax: 907-268-5583 |