Dr Jeffrey Brent Roaten, MD PHD | |
4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 | |
(907) 929-7337 | |
Not Available |
Full Name | Dr Jeffrey Brent Roaten |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 23 Years |
Location | 4100 Lake Otis Pkwy Ste 312, 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 |
---|---|---|---|
1558546788 | NPI | - | NPPES |
MD1272 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 43121 (Tennessee) | Secondary |
208600000X | Surgery | 6550 (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alaska Pediatric Specialties Llc | 9537435284 | 3 |
Entity Name | Alaska Pediatric Specialties Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396140950 PECOS PAC ID: 9537435284 Enrollment ID: O20171024002194 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Brent Roaten, MD PHD 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 Ph: (907) 929-7337 | Dr Jeffrey Brent Roaten, MD PHD 4100 Lake Otis Pkwy Ste 312, Anchorage, AK 99508-5231 Ph: (907) 929-7337 |
Dr. Bijiibaa' K Garrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 520-390-8275 | |
Dr. Jeffrey Charles Congdon, MD Surgery Medicare: Medicare Enrolled Practice Location: 2925 Debarr Rd, Anchorage, AK 99508 Phone: 907-257-4869 | |
Kevin Joseph Stange, MD Surgery Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Dr. Regina Sutton Chennault, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2751 Debarr Rd, Suite 280a, Anchorage, AK 99508 Phone: 907-222-6888 Fax: 907-222-6884 | |
Mark James Thorndike, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Dr. Priya Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4001 Laurel St Ste 204, Anchorage, AK 99508 Phone: 907-562-8346 | |
Dr. Madhu Prasad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2925 Debarr Rd Ste D350, Anchorage, AK 99508 Phone: 907-276-3676 Fax: 907-276-3679 |