Mr Adam Covino Ellison, MD | |
1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | |
(907) 357-2267 | |
(907) 563-3460 |
Full Name | Mr Adam Covino Ellison |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 1700 E Bogard Rd Ste 102, Wasilla, Alaska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730394669 | NPI | - | NPPES |
1628093 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | D0071677 (Maryland) | Secondary |
207X00000X | Orthopaedic Surgery | MEDS8334 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mat-su Regional Medical Center | Palmer, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthoalaska Llc | 2961705520 | 127 |
Entity Name | Orthoalaska Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336504521 PECOS PAC ID: 2961705520 Enrollment ID: O20160114002729 |
Mailing Address | Practice Location Address |
---|---|
Mr Adam Covino Ellison, MD 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 Ph: (907) 562-2277 | Mr Adam Covino Ellison, MD 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 Ph: (907) 357-2267 |
Dr. Richard Raymond Strohmeyer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6500 Verboncoeur Drive, Wasilla, AK 99654 Phone: 907-232-1556 | |
Dr. Charles Justin Haggerty, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3765 E. Blue Lupine Dr. Suite D, Wasilla, AK 99654 Phone: 907-707-1671 | |
Dr. Garret Walker Schuchart, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3765 E. Blue Lupine Dr. Ste D, Wasilla, AK 99654 Phone: 907-707-1671 Fax: 907-707-1675 | |
Dr. Michael Montano, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3765 E. Blue Lupine Dr. Ste D, Wasilla, AK 99654 Phone: 907-707-1671 Fax: 907-707-1675 |