Jacquelyn Louise Serrano, MD, MPH | |
1201 E 36th Ave, Anchorage, AK 99508-4372 | |
(907) 562-9229 | |
(907) 562-1603 |
Full Name | Jacquelyn Louise Serrano |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1201 E 36th Ave, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700998788 | NPI | - | NPPES |
1574175 | Medicaid | AK | |
8434375 | Medicaid | WA | |
911019392 | Other | COMMERCIAL | |
0200598 | Other | WA | L & I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD25784 (Oregon) | Secondary |
207Q00000X | Family Medicine | 7210 (Alaska) | Primary |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
Mailing Address | Practice Location Address |
---|---|
Jacquelyn Louise Serrano, MD, MPH Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068 | Jacquelyn Louise Serrano, MD, MPH 1201 E 36th Ave, Anchorage, AK 99508-4372 Ph: (907) 562-9229 |
Candace L Clawson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-1624 Fax: 907-729-1634 | |
Dr. William Murray Buttner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E 36th Ave, Anchorage, AK 99508 Phone: 907-562-9229 Fax: 907-561-4806 | |
Robert L Mcalister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E 36th Ave, Anchorage, AK 99508 Phone: 907-562-2992 | |
Shane W Cummings, M D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 E Dimond Blvd, Suite 1, Anchorage, AK 99515 Phone: 907-344-2400 Fax: 907-344-2404 | |
Jeremy D Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Compassion Cir, Anchorage, AK 99504 Phone: 907-212-9200 Fax: 907-212-9283 | |
Kelton Hillard Oliver, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12302 Woodward Dr, Anchorage, AK 99516 Phone: 907-580-0002 | |
Ryan T. Mcwilliams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Diplomacy Dr, Suite 1191, Anchorage, AK 99508 Phone: 907-729-6321 |