Dr Terri Lee Elliott, DO | |
135 Bidarka St, Suite 101, Kenai, AK 99611-7741 | |
(907) 335-0034 | |
(907) 335-0064 |
Full Name | Dr Terri Lee Elliott |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 135 Bidarka St, Kenai, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316932031 | NPI | - | NPPES |
152262 | Other | AK | MEDICARE ID |
AK4040 | Other | AK | STATE LICENSE |
152261 | Other | AK | MEDICARE GROUP NUMBER |
MD6089 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AK4040 (Alaska) | Primary |
Entity Name | Yakutat Tlingit Tribe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871529628 PECOS PAC ID: 7719894575 Enrollment ID: O20080715000589 |
Mailing Address | Practice Location Address |
---|---|
Dr Terri Lee Elliott, DO 135 Bidarka St, Suite 101, Kenai, AK 99611-7741 Ph: (907) 335-0034 | Dr Terri Lee Elliott, DO 135 Bidarka St, Suite 101, Kenai, AK 99611-7741 Ph: (907) 335-0034 |
Dr. James Robert Bauman Iv, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 506 Lake St, Kenai, AK 99611 Phone: 907-714-4111 Fax: 844-412-3852 | |
Dr. Kim Edward Thiele, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36901 Mallard Rd, Kenai, AK 99611 Phone: 907-283-5000 Fax: 907-283-5013 | |
Dr. Samuel Herman Schurig, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Highway, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-335-2460 | |
Jefferson Wasson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 360-626-3036 | |
Mr. Ray Lynn Carlson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-283-5341 | |
Dr. Ann Kathryn-meyer Hupe, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-283-5341 |