Julia Sicilia, MD | |
436 5th &ted Stevens Way, Kotzebue, AK 99752-4372 | |
(907) 442-7202 | |
(907) 442-7312 |
Full Name | Julia Sicilia |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 436 5th &ted Stevens Way, Kotzebue, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205935210 | NPI | - | NPPES |
HS191P | Medicaid | AK | |
P00291754 | Other | AK | RAILROAD MEDICARE PIN # |
HS190P | Medicaid | AK | |
MD66291 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5532 (Alaska) | Primary |
Entity Name | Maniilaq Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
Mailing Address | Practice Location Address |
---|---|
Julia Sicilia, MD 436 Ted Stevens Way, Kotzebue, AK 99752-6276 Ph: (907) 442-7202 | Julia Sicilia, MD 436 5th &ted Stevens Way, Kotzebue, AK 99752-4372 Ph: (907) 442-7202 |
Dr. James Michael Farrington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7148 | |
Ayesha Venkateswaran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Linda Olson Bergum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Amelia Stutman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Dr. Srikanth Rao Dakoji, M.D.,PH.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 479 Mission St, Apt C8, Kotzebue, AK 99752 Phone: 415-283-6925 | |
Kathryn Buffey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-7442 Fax: 907-442-7013 |