Mrs Tracey L Wiese, ANP | |
741 Sesame St, Ste 1b, Anchorage, AK 99503-6657 | |
(907) 334-1000 | |
(907) 334-8080 |
Full Name | Mrs Tracey L Wiese |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 741 Sesame St, Anchorage, Alaska |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467781021 | NPI | - | NPPES |
NP0101 | Medicaid | AK | |
MPG0335 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1121 (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Identity Inc | 5395150460 | 4 |
Entity Name | Identity Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225633449 PECOS PAC ID: 5395150460 Enrollment ID: O20210223001828 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey L Wiese, ANP 741 Sesame St, Ste 1b, Anchorage, AK 99503-6657 Ph: (907) 334-1000 | Mrs Tracey L Wiese, ANP 741 Sesame St, Ste 1b, Anchorage, AK 99503-6657 Ph: (907) 334-1000 |
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 |