Jefferson Wasson, DO | |
10543 Kenai Spur Hwy, Kenai, AK 99611-7812 | |
(360) 626-3036 | |
Not Available |
Full Name | Jefferson Wasson |
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Gender | Male |
Speciality | Family Medicine |
Location | 10543 Kenai Spur Hwy, 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 |
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1043771207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 189244 (Alaska) | 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 |
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 |
Mailing Address | Practice Location Address |
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Jefferson Wasson, DO 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 Ph: () - | Jefferson Wasson, DO 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 Ph: (360) 626-3036 |
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 | |
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 | |
Dr. Terri Lee Elliott, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 135 Bidarka St, Suite 101, Kenai, AK 99611 Phone: 907-335-0034 Fax: 907-335-0064 |