Jason Eric Wallentine, MD | |
245 N Binkley St Ste 101, Soldotna, AK 99669-7500 | |
(907) 714-4111 | |
Not Available |
Full Name | Jason Eric Wallentine |
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Gender | Male |
Speciality | Family Medicine |
Location | 245 N Binkley St Ste 101, Soldotna, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154884328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 01085823A (Indiana) | Primary |
Entity Name | Central Peninsula General Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528062429 PECOS PAC ID: 4587552575 Enrollment ID: O20040310000598 |
Mailing Address | Practice Location Address |
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Jason Eric Wallentine, MD 221 N Celia Ave, Muncie, IN 47303-4609 Ph: (765) 747-3141 | Jason Eric Wallentine, MD 245 N Binkley St Ste 101, Soldotna, AK 99669-7500 Ph: (907) 714-4111 |
Kattrina Michelle Rall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35743 Kenai Spur Hwy Ste A, Soldotna, AK 99669 Phone: 907-260-4468 Fax: 907-260-4467 | |
Dr. Lavern R Davidhizar, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669 Phone: 907-262-7566 Fax: 907-262-0809 | |
Katsiaryna Malykhina, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 Fax: 907-262-9290 | |
Dr. Tamar Gibli Marcotte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35670 Kenai Spur Hwy Ste 103a, Soldotna, AK 99669 Phone: 907-260-1655 Fax: 980-495-8870 | |
Dr. Roger David Martinez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Central Peninsula General Hospital 250 Hospital Place, Emergency Department, Soldotna, AK 99669 Phone: 907-714-4444 | |
Dr. Gladys Bailon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 N Binkley St, Suite 101, Soldotna, AK 99669 Phone: 907-260-7784 |