| Kim Perry, | |
|
1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | |
| (907) 729-7408 | |
| Not Available |
| Full Name | Kim Perry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518721554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 178584 (Alaska) | Primary |
| 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 |
|---|---|
| Kim Perry, 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: () - | Kim Perry, 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 729-7408 |
Alysa Sonnentag, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Fairview Loop, Wasilla, AK 99654 Phone: 907-373-3335 | |
Ms. Lisa Bouyea-francies, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3373 | |
Stephanie Rae Mcquillin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1751 E Gardner Way Ste E, Wasilla, AK 99654 Phone: 907-376-9321 Fax: 907-376-9322 | |
Mr. Clinton Deaver, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Randall Twenhafel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-357-4543 Fax: 907-357-4533 | |
Samantha Lyn Hamilton, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460 | |
Nancy Mcdonnell Kent, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3223 Palmer Wasilla Hwy, Suite # 3, Wasilla, AK 99654 Phone: 907-352-6600 Fax: 907-376-3096 |