Mark Raine, MD | |
3100 S Tongass Hwy, Ketchikan, AK 99901-9600 | |
(907) 228-7601 | |
Not Available |
Full Name | Mark Raine |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3100 S Tongass Hwy, Ketchikan, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275502684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 3402 (Alaska) | Primary |
Entity Name | Nes Washington, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215239595 PECOS PAC ID: 5193994879 Enrollment ID: O20110815000475 |
Mailing Address | Practice Location Address |
---|---|
Mark Raine, MD Po Box 6484, Ketchikan, AK 99901-1484 Ph: () - | Mark Raine, MD 3100 S Tongass Hwy, Ketchikan, AK 99901-9600 Ph: (907) 228-7601 |
Scott Myers Kirchner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 | |
Bradley Gao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 | |
Dr. Ernest Meloche, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan General Hospital Er, Ketchikan, AK 99901 Phone: 907-617-5111 |