| Mrs Rebecca Ivry Moore, PAC | |
|
201 3rd Ave, Suite 201, Seward, AK 99664 | |
| (907) 224-4916 | |
| (907) 224-5870 |
| Full Name | Mrs Rebecca Ivry Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 201 3rd Ave, Seward, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720273295 | NPI | - | NPPES |
| PA19315 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 19315 (California) | Secondary |
| 363A00000X | Physician Assistant | PAD A 830 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Ivry Moore, PAC Po Box 3262, Seward, AK 99664-3262 Ph: (907) 224-4916 | Mrs Rebecca Ivry Moore, PAC 201 3rd Ave, Suite 201, Seward, AK 99664 Ph: (907) 224-4916 |
Diane Thompson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 3rd St. 20, Seward, AK 99664 Phone: 907-224-3490 | |
Jeanette L Nienaber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 417 First Avenue, Seward, AK 99664 Phone: 907-224-2273 Fax: 907-224-8501 | |
Mr. Timothy W Johnson, MS PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 33280 Stoney Creek Ave, Seward, AK 99664 Phone: 907-224-7094 Fax: 907-224-7094 | |
Lori Landstrom, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 3rd Avenue, Suite 201, Seward, AK 99664 Phone: 907-224-3490 Fax: 907-224-5870 | |
Brent Alan Ursel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 Seward Hwy, Ste D, Seward, AK 99664 Phone: 907-224-8733 Fax: 907-224-8734 | |
Mr. David W Norcross, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: Spring Creek Correctional Center. Betty Cato Drive, Mile 5 Nash Road, Seward, AK 99664 Phone: 190-722-4837 Fax: 190-722-4818 |