Douglas Prevost, MD | |
4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 | |
(907) 563-3145 | |
(833) 464-5196 |
Full Name | Douglas Prevost |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 34 Years |
Location | 4100 Lake Otis Pkwy Ste 108, Anchorage, Alaska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952376022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MEDS5369 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alaska Regional Hospital | Anchorage, AK | Hospital |
Providence Alaska Medical Center | Anchorage, AK | Hospital |
Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
South Peninsula Hospital | Homer, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Network Of Alaska Llc | 3072618859 | 66 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Anchorage Fracture And Orthopaedic Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285677054 PECOS PAC ID: 7517914187 Enrollment ID: O20050405001438 |
Entity Name | Medical Network Of Alaska Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538414834 PECOS PAC ID: 3072618859 Enrollment ID: O20070424000329 |
Mailing Address | Practice Location Address |
---|---|
Douglas Prevost, MD 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 Ph: (907) 563-3145 | Douglas Prevost, MD 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 Ph: (907) 563-3145 |
Dr. Ryan Timothy Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4739 Egret Rock Cir, Anchorage, AK 99507 Phone: 831-917-8761 | |
Loren J Jensen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Otis Pkwy, Suite 314, Anchorage, AK 99508 Phone: 907-274-2425 Fax: 907-274-2428 | |
Dr. Adrian B Ryan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3831 Piper St, Suite S-220, Anchorage, AK 99508 Phone: 907-563-3145 Fax: 907-561-3967 | |
Dann J Laudermilch, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Dr. Ross Nathan Brudenell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3801 Lake Otis Pkwy, Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Rabun Samuel Fox, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3831 Piper St Ste 220, Anchorage, AK 99508 Phone: 907-563-3145 Fax: 907-561-3967 | |
Dr. Andrew Garret Shacklett, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Anchorage, AK 99506 Phone: 907-580-1571 |