Maryellen Gordian, MD is a
General Practice physician based in Ft Richardson, Alaska. Maryellen Gordian is licensed to practice in Alaska (license number 2758) and her current practice location is Bldg 60702, Ft Richardson, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 384-6017.
NPI number for Maryellen Gordian is 1194704619 and her current mailing address is Po Box 241769, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194704619.
Physician's Profile
Full Name | Maryellen Gordian |
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Gender | Female |
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Speciality | General Practice |
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Location | Bldg 60702, Ft Richardson, Alaska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194704619
- Provider Enumeration Date: 01/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Maryellen Gordian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194704619 | NPI | - | NPPES |
MD27581 | Medicaid | AK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 2758 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryellen Gordian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maryellen Gordian, MD Po Box 241769, Anchorage, AK 99524-1769 Ph: (907) 770-2380 | Maryellen Gordian, MD Bldg 60702, Ft Richardson, AK 99505 Ph: (907) 384-6017 |
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