Jesse W Atwood, MD | |
2500 S Woodworth Loop, Palmer, AK 99645-8984 | |
(907) 861-6000 | |
Not Available |
Full Name | Jesse W Atwood |
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Gender | Male |
Speciality | Pediatrics |
Location | 2500 S Woodworth Loop, Palmer, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700894664 | NPI | - | NPPES |
8355976 | Medicaid | WA | |
MD4770 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 7328 (Alaska) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
Entity Name | Peacehealth |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
Mailing Address | Practice Location Address |
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Jesse W Atwood, MD Po Box 876166, Wasilla, AK 99687-6166 Ph: () - | Jesse W Atwood, MD 2500 S Woodworth Loop, Palmer, AK 99645-8984 Ph: (907) 861-6000 |
Mrs. Therese K Tomasoski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2250 South Woodworth Loop, Suite 101, Palmer, AK 99645 Phone: 907-761-5900 Fax: 907-761-5999 | |
Jessica Barry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 S Woodworth Loop, Palmer, AK 99645 Phone: 907-861-6000 |