Clifford C Wilson, ANP | |
4320 Diplomacy Dr, Suite 1500, Anchorage, AK 99508-5925 | |
(907) 729-2500 | |
Not Available |
Full Name | Clifford C Wilson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 4320 Diplomacy Dr, Anchorage, 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 |
---|---|---|---|
1457503823 | NPI | - | NPPES |
NP0064 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1055 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alaska Native Medical Center | Anchorage, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southcentral Foundation | 5496663627 | 116 |
Entity Name | Bristol Bay Area Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Entity Name | Southcentral Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
---|---|
Clifford C Wilson, ANP 4501 Diplomacy Dr, Attn: Provider Enrollment Services, Anchorage, AK 99508-5919 Ph: (907) 729-8624 | Clifford C Wilson, ANP 4320 Diplomacy Dr, Suite 1500, Anchorage, AK 99508-5925 Ph: (907) 729-2500 |
Ms. Mary Kay Mccarty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3925 Tudor Centre Dr, #100, Anchorage, AK 99508 Phone: 907-561-8301 Fax: 907-561-8170 | |
Mindy Lorin Schloss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6852 Cutty Sark St, Anchorage, AK 99502 Phone: 907-243-5936 | |
Katherine L Sterner, A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508 Phone: 907-729-4955 | |
Sandra Frenier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Providence Dr, Suite 452, Anchorage, AK 99508 Phone: 907-562-2120 | |
Janet A Bloch, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3851 Piper St, U340, Anchorage, AK 99508 Phone: 907-562-0321 Fax: 907-562-2683 | |
Lois A Rockcastle, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 University Lake Dr Ste 205, Anchorage, AK 99508 Phone: 907-563-1600 Fax: 907-563-0100 | |
Mrs. Megan Renee Hathcoat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-262-4278 |