Michael D Michener, MD | |
3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 | |
(907) 646-8500 | |
(907) 646-9760 |
Full Name | Michael D Michener |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 25 Years |
Location | 3841 Piper St Ste T4-020, 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 |
---|---|---|---|
1467448662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036114135 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036-114135 (Illinois) | Secondary |
207N00000X | Dermatology | 129488 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Alaska Medical Center | Anchorage, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
Entity Name | Mountain West Derm - Blackhart Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124670088 PECOS PAC ID: 1153609813 Enrollment ID: O20191023002754 |
Mailing Address | Practice Location Address |
---|---|
Michael D Michener, MD 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 Ph: (907) 646-8500 | Michael D Michener, MD 3841 Piper St Ste T4-020, Anchorage, AK 99508-4673 Ph: (907) 646-8500 |
Stephanie Ann Mcleish, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3841 Piper St Ste T4-020, Anchorage, AK 99508 Phone: 907-646-8500 | |
Dr. Andrzej R Maciejewski, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3260 Providence Dr, #523, Anchorage, AK 99508 Phone: 907-569-1049 Fax: 907-563-4564 | |
Dr. Courtney Weathersby Bagayoko, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 615 E 82nd Ave Ste 204, Anchorage, AK 99518 Phone: 907-865-8455 Fax: 913-246-4901 | |
Gina M Brown, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3340 Providence Dr Ste A358, Anchorage, AK 99508 Phone: 907-268-2067 Fax: 855-395-0858 | |
Thomas P Senter, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 636 Barrow St, Anchorage, AK 99501 Phone: 907-276-1315 Fax: 907-278-7129 | |
Rechelle Tull, MD Dermatology Medicare: Medicare Enrolled Practice Location: 615 E 82nd Ave Ste 204, Anchorage, AK 99518 Phone: 907-865-8455 |