Chase William Gulstrom, DO | |
1000 Greg Kruschek Avenue, Nome, AK 99762 | |
(190) 744-3331 | |
Not Available |
Full Name | Chase William Gulstrom |
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Gender | Male |
Speciality | Family Medicine |
Location | 1000 Greg Kruschek Avenue, Nome, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386149391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 146077 (Alaska) | Secondary |
207Q00000X | Family Medicine | 185188 (Alaska) | Primary |
Entity Name | Norton Sound Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154358232 PECOS PAC ID: 7517858137 Enrollment ID: O20040323001076 |
Entity Name | Norton Sound Health Corporation |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1225101041 PECOS PAC ID: 7517858137 Enrollment ID: O20080227000439 |
Mailing Address | Practice Location Address |
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Chase William Gulstrom, DO 1000 City Of Nome Drive, Box 1242, Nome, AK 99762 Ph: (808) 228-0886 | Chase William Gulstrom, DO 1000 Greg Kruschek Avenue, Nome, AK 99762 Ph: (190) 744-3331 |
Logan F Huff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Greg Kruschek Ave, Nome, AK 99762 Phone: 907-443-3311 | |
Dr. Jerry M. Davenport, D. O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Ave, Norton Sound Health Cooperation, Nome, AK 99762 Phone: 907-443-3214 | |
James Lavery, Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Greg Kruscheck Ave, Nome, AK 99762 Phone: 907-443-3311 | |
Timothy W Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 Phone: 907-443-3311 | |
Stephen Darrell Daniel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Greg Kruschek Ave., Norton Sound Health Corporation, Nome, AK 99762 Phone: 907-443-3311 Fax: 907-443-4570 | |
Dr. Sai-ling Liu, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5th Avenue 306 West, Norton Sound Health Corporation, Nome, AK 99762 Phone: 907-443-3311 Fax: 907-443-3139 |