| Ge Family Services | |
|
341 W Tudor Rd Ste 209 Anchorage AK 99503-6648 | |
| (907) 331-0576 | |
| (800) 511-7484 |
| Full Name | Ge Family Services |
|---|---|
| Speciality | Counselor |
| Location | 341 W Tudor Rd Ste 209, Anchorage, Alaska |
| Authorized Official Name and Position | Mary Elkins (OWNER) |
| Authorized Official Contact | 9073310576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ge Family Services Po Box 90574 Anchorage AK 99509-0574 Ph: (907) 331-0576 | Ge Family Services 341 W Tudor Rd Ste 209 Anchorage AK 99503-6648 Ph: (907) 331-0576 |
| NPI Number | 1265174502 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 0244697712 |
|---|---|
| Medicare Enrollment ID | O20230530000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265174502 | NPI | - | NPPES |
| 1728135 | Medicaid | AK |
| Provider Name | Laura Terese Kabatt - Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275732257 PECOS PAC ID: 2062879539 Enrollment ID: I20230614003630 |
| Provider Name | Mary Celeste Elkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871147520 PECOS PAC ID: 3971960444 Enrollment ID: I20240315003062 |
| Provider Name | Justin Michael Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508409863 PECOS PAC ID: 8022456714 Enrollment ID: I20240401000688 |
| Provider Name | Jason Brent Fedeli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407199656 PECOS PAC ID: 2567800162 Enrollment ID: I20240402001220 |
| Provider Name | Gillian June Small-kota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508638909 PECOS PAC ID: 4486092087 Enrollment ID: I20240402001545 |
| Provider Name | Geraldine Marie Rouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245701721 PECOS PAC ID: 8527406859 Enrollment ID: I20240405001922 |
| Provider Name | Cory David Farrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407479173 PECOS PAC ID: 3678913928 Enrollment ID: I20240502004068 |
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