Dr Michael J Mavencamp, OD | |
570 Riverstone Way, Ste 3, Fairbanks, AK 99709 | |
(907) 479-4700 | |
(907) 457-5596 |
Full Name | Dr Michael J Mavencamp |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 570 Riverstone Way, Fairbanks, 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 |
---|---|---|---|
1760541676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | A240 (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Valley Vision Center, Inc | 9436234994 | 4 |
Provider Name | West Valley Vision Center, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235354515 PECOS PAC ID: 9436234994 Enrollment ID: O20080307000159 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Mavencamp, OD 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 Ph: (907) 479-4700 | Dr Michael J Mavencamp, OD 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 Ph: (907) 479-4700 |
Eye Clinic Of Fairbanks, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St, Suite 103, Fairbanks, AK 99701 Phone: 907-456-7760 Fax: 907-451-7916 | |
Mountain View Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 2555 Phillips Field Rd, Fairbanks, AK 99709 Phone: 907-328-2920 | |
Augusta Ann Plassmann King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1521 Stacia St, Unit B, Fairbanks, AK 99701 Phone: 907-456-4822 | |
Anita Mullins, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Old Steese Hwy Ste 2, Fairbanks, AK 99701 Phone: 907-456-4822 Fax: 907-456-4830 | |
Dr. Jeremy Fulk, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 116 Minnie St, Fairbanks, AK 99701 Phone: 907-456-7760 | |
John Charles Cobbett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way Ste 150a, Fairbanks, AK 99701 Phone: 907-452-2131 Fax: 907-452-2618 | |
James R. Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 1st Ave, Suite 600, Fairbanks, AK 99701 Phone: 907-452-8251 Fax: 907-459-3853 |