Paul Leo Eneboe, MD | |
4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603-7015 | |
(907) 235-8586 | |
(907) 235-6639 |
Full Name | Paul Leo Eneboe |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4136 Bartlett St, Homer, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043352214 | NPI | - | NPPES |
MD0583 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 583 (Alaska) | Primary |
Entity Name | South Peninsula Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583 |
Mailing Address | Practice Location Address |
---|---|
Paul Leo Eneboe, MD 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603-7015 Ph: (907) 235-8586 | Paul Leo Eneboe, MD 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603-7015 Ph: (907) 235-8586 |
Randall Habecker Wiest, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603 Phone: 907-235-8586 Fax: 907-235-6639 | |
Prof. Clarence O. Hughes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Jade Dr., Homer, AK 99603 Phone: 907-235-4229 Fax: 907-235-1936 | |
David Robert Downey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 W Pioneer Ave Ste 3, Homer, AK 99603 Phone: 907-435-3070 Fax: 907-435-3079 | |
Sarah L Roberts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Bartlett St, Homer, AK 99603 Phone: 907-235-8586 | |
Tim W Scheffel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3179 Lake St, Homer, AK 99603 Phone: 907-299-6069 Fax: 888-639-5730 | |
Giulia Marie Tortora, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603 Phone: 907-235-8586 Fax: 907-235-6639 |