Kevin Joseph Stange, MD | |
4315 Diplomacy Dr, Anchorage, AK 99508-5926 | |
(907) 563-2662 | |
Not Available |
Full Name | Kevin Joseph Stange |
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Gender | Male |
Speciality | Surgery |
Location | 4315 Diplomacy Dr, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073546677 | NPI | - | NPPES |
MD0424 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4286 (Alaska) | Primary |
Entity Name | Kauai Medical Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
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Kevin Joseph Stange, MD 4315 Diplomacy Dr, Anchorage, AK 99508-5926 Ph: (907) 563-2662 | Kevin Joseph Stange, MD 4315 Diplomacy Dr, Anchorage, AK 99508-5926 Ph: (907) 563-2662 |
Dr. Bijiibaa' K Garrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 520-390-8275 | |
Dr. Jeffrey Charles Congdon, MD Surgery Medicare: Medicare Enrolled Practice Location: 2925 Debarr Rd, Anchorage, AK 99508 Phone: 907-257-4869 | |
Dr. Regina Sutton Chennault, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2751 Debarr Rd, Suite 280a, Anchorage, AK 99508 Phone: 907-222-6888 Fax: 907-222-6884 | |
Mark James Thorndike, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Dr. Priya Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4001 Laurel St Ste 204, Anchorage, AK 99508 Phone: 907-562-8346 | |
Dr. Madhu Prasad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2925 Debarr Rd Ste D350, Anchorage, AK 99508 Phone: 907-276-3676 Fax: 907-276-3679 |