Tiffany Yue-fei Borbon, MD, PHD | |
1650 Cowles St, Fairbanks, AK 99701-5907 | |
(907) 452-8181 | |
Not Available |
Full Name | Tiffany Yue-fei Borbon |
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Gender | Female |
Speciality | Pediatrics |
Location | 1650 Cowles St, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760019665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ML61058271 (Washington) | Secondary |
208000000X | Pediatrics | MD61402504 (Washington) | Secondary |
208000000X | Pediatrics | 212194 (Alaska) | Primary |
Entity Name | Tanana Valley Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
Mailing Address | Practice Location Address |
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Tiffany Yue-fei Borbon, MD, PHD 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 452-8181 | Tiffany Yue-fei Borbon, MD, PHD 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 452-8181 |
Dr. James Timothy Foote, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. Marvin Bergeson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526 | |
Dr. Laura Brunner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526 | |
Dr. Mishelle Nace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. Corneliu Antonescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Dr. John Matthew De Pasquale, MD, MPH, DTM&H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554 | |
Manal Shihadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701 Phone: 907-374-2637 Fax: 907-374-2632 |