Dr Justin G Perdue, MD | |
4076 Neely Rd, Bassett Army Community Hospital, Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), Fort Wainwright, AK 99703-7440 | |
(423) 483-9293 | |
Not Available |
Full Name | Dr Justin G Perdue |
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Gender | Male |
Speciality | Family Medicine |
Location | 4076 Neely Rd, Bassett Army Community Hospital, 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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1336709989 | NPI | - | NPPES |
61988 | Other | TN | TN STATE LICENSE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 61988 (Tennessee) | 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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Dr Justin G Perdue, MD 4076 Neely Rd, Bassett Army Community Hospital, Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), Fort Wainwright, AK 99703-7440 Ph: (423) 483-9293 | Dr Justin G Perdue, MD 4076 Neely Rd, Bassett Army Community Hospital, Usa Meddac-ak Attn: Mcuc-mmd-qm (credentials), Fort Wainwright, AK 99703-7440 Ph: (423) 483-9293 |
Dr. Daniel Craig Bothwell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3406 Alder Ave, Fort Wainwright, AK 99703 Phone: 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 | |
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 |