Dr Daniel Craig Bothwell, DO | |
3406 Alder Ave, Fort Wainwright, AK 99703 | |
(073) 531-2389 | |
Not Available |
Full Name | Dr Daniel Craig Bothwell |
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Gender | Male |
Speciality | Family Medicine |
Location | 3406 Alder Ave, Fort Wainwright, 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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1053762583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 101294 (Montana) | Primary |
Entity Name | Alpine Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114681608 PECOS PAC ID: 7113302373 Enrollment ID: O20220923002293 |
Mailing Address | Practice Location Address |
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Dr Daniel Craig Bothwell, DO Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), 1060 Gaffney Rd, Ft. Wainwright, AK 99703-7440 Ph: (907) 361-5603 | Dr Daniel Craig Bothwell, DO 3406 Alder Ave, Fort Wainwright, AK 99703 Ph: (073) 531-2389 |
Laura Nowels Kaster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 Phone: 907-361-5200 | |
Dr. Justin G Perdue, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4076 Neely Rd, Bassett Army Community Hospital, Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), Fort Wainwright, AK 99703 Phone: 423-483-9293 | |
Benjamin Lampe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4076 Neely Road, Bassett Army Community Hospital, Fort Wainwright, AK 99703 Phone: 762-408-2532 | |
Dr. Michael Shawn Neff, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4076 Neely Rd, Basset Army Community Hospital, Fort Wainwright, AK 99703 Phone: 907-361-5322 Fax: 907-361-4386 | |
Dr. Randall D Miller, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Building 3406 Alder Street, Kamish Clinic, Fort Wainwright, AK 99703 Phone: 907-353-4183 |