Madden Medical Associates, Llc | |
4141 B St Suite 401 Anchorage AK 99503-5940 | |
(907) 770-2380 | |
(907) 770-2325 |
Full Name | Madden Medical Associates, Llc |
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Speciality | Psychiatry & Neurology |
Location | 4141 B St, Anchorage, Alaska |
Authorized Official Name and Position | Joseph E Beaty (BILLING AGENT) |
Authorized Official Contact | 9077702301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madden Medical Associates, Llc Po Box 241769 Anchorage AK 99524-1769 Ph: (907) 770-2380 | Madden Medical Associates, Llc 4141 B St Suite 401 Anchorage AK 99503-5940 Ph: (907) 770-2380 |
NPI Number | 1396937454 |
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Provider Enumeration Date | 08/13/2007 |
Last Update Date | 11/03/2016 |
Medicare PECOS PAC ID | 1850308719 |
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Medicare Enrollment ID | O20060317000166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396937454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Kim E Madden |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346200227 PECOS PAC ID: 2668446311 Enrollment ID: I20040819001411 |
Provider Name | Henry Joseph Comiter |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1417039850 PECOS PAC ID: 1658419478 Enrollment ID: I20171024002169 |
Provider Name | Jozef A Ottowicz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861484297 PECOS PAC ID: 5294701231 Enrollment ID: I20171213002399 |
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