Nicholas Bahl, MD | |
3066 E Meridian Park Loop, Wasilla, AK 99654-7254 | |
(907) 357-2332 | |
(907) 357-9593 |
Full Name | Nicholas Bahl |
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Gender | Male |
Speciality | Surgery |
Location | 3066 E Meridian Park Loop, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083149777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 185227 (Alaska) | Primary |
Entity Name | Medical Network Of Alaska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538414834 PECOS PAC ID: 3072618859 Enrollment ID: O20070424000329 |
Entity Name | Glacier Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568861086 PECOS PAC ID: 2163641630 Enrollment ID: O20140915002359 |
Mailing Address | Practice Location Address |
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Nicholas Bahl, MD 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 Ph: (907) 864-4625 | Nicholas Bahl, MD 3066 E Meridian Park Loop, Wasilla, AK 99654-7254 Ph: (907) 357-2332 |
Dr. David T Mayschak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5300 Shennum Dr, Wasilla, AK 99654 Phone: 907-354-0503 Fax: 907-376-7874 | |
Joseph Henry Llewellyn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 E Country Field Cir Ste D, Wasilla, AK 99654 Phone: 907-357-6121 Fax: 907-357-6171 |