Jon F Lieberman, MD | |
1626 30th Ave, Suite 201, Fairbanks, AK 99701 | |
(907) 456-3100 | |
(907) 456-3141 |
Full Name | Jon F Lieberman |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1626 30th Ave, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538134408 | NPI | - | NPPES |
1007885 | Medicaid | AK | |
MD0230 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2658 (Alaska) | Primary |
Entity Name | South Peninsula Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583 |
Mailing Address | Practice Location Address |
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Jon F Lieberman, MD 1626 30th Ave, Suite 201, Fairbanks, AK 99701 Ph: (907) 456-3100 | Jon F Lieberman, MD 1626 30th Ave, Suite 201, Fairbanks, AK 99701 Ph: (907) 456-3100 |
Arlene Gay Kirschner, M.D. APC Surgery Medicare: Accepting Medicare Assignments Practice Location: 3419 Airport Way Ste B, Fairbanks, AK 99709 Phone: 907-474-4745 Fax: 907-374-8715 | |
Christopher J Jensen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2485 Chief William Dr, Suite 100, Fairbanks, AK 99709 Phone: 907-457-5277 Fax: 907-457-5278 | |
Dr. Mark Timothy Kowal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Ste 202, Fairbanks, AK 99701 Phone: 907-451-5507 Fax: 907-451-5590 | |
Dr. John Richard Mayer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way, Suite 120b, Fairbanks, AK 99701 Phone: 907-457-5050 Fax: 907-457-5034 | |
Danny Ray Robinette, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Suite 102, Fairbanks, AK 99701 Phone: 907-451-6142 Fax: 907-451-6284 | |
William Henry Montano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Suite 204, Fairbanks, AK 99701 Phone: 907-452-8151 Fax: 907-452-8153 | |
Dr. Joseph Charles Livengood, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5358 |