Carla Michelle Cartagena De Jesus, MD | |
1001 Noble St Ste 1, Fairbanks, AK 99701-4991 | |
(907) 459-3500 | |
Not Available |
Full Name | Carla Michelle Cartagena De Jesus |
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Gender | Female |
Speciality | Pediatrics |
Location | 1001 Noble St Ste 1, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518312453 | NPI | - | NPPES |
1698143 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R75496 (Arizona) | Secondary |
208000000X | Pediatrics | 143269 (Alaska) | Primary |
Entity Name | Tanana Valley Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
Mailing Address | Practice Location Address |
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Carla Michelle Cartagena De Jesus, MD Po Box 73720, Fairbanks, AK 99707-3720 Ph: (907) 459-3500 | Carla Michelle Cartagena De Jesus, MD 1001 Noble St Ste 1, Fairbanks, AK 99701-4991 Ph: (907) 459-3500 |
Dr. James Timothy Foote, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. Marvin Bergeson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526 | |
Dr. Laura Brunner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526 | |
Dr. Mishelle Nace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. Corneliu Antonescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. John Matthew De Pasquale, MD, MPH, DTM&H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Manal Shihadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701 Phone: 907-374-2637 Fax: 907-374-2632 |