Jaclyn Roe Scanlan, | |
3190 E Meridian Park Loop Ste 206, Wasilla, AK 99654-7422 | |
(907) 373-9462 | |
Not Available |
Full Name | Jaclyn Roe Scanlan |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 3190 E Meridian Park Loop Ste 206, Wasilla, 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 |
---|---|---|---|
1902570542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Alaska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wasilla Physical Therapy Inc. | 1456504448 | 4 |
Provider Name | Wasilla Physical Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023364205 PECOS PAC ID: 1456504448 Enrollment ID: O20121222000035 |
Provider Name | Medical Group Of Alaska |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750730594 PECOS PAC ID: 7416243076 Enrollment ID: O20160907002184 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Roe Scanlan, 3947 Quincy Dr Sw, Bemidji, MN 56601-9818 Ph: (182) 791-3753 | Jaclyn Roe Scanlan, 3190 E Meridian Park Loop Ste 206, Wasilla, AK 99654-7422 Ph: (907) 373-9462 |
Amy Lynn Sauck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 E Bogard Rd, Suite B203, Wasilla, AK 99654 Phone: 907-376-4325 | |
Russell Burlingame, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 | |
Keith Poorbaugh, PT, SCD, OCS, FAAOMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 984 N Meridian Pl, # A, Wasilla, AK 99654 Phone: 907-631-4029 Fax: 907-631-4128 | |
Jessica Ann Bruscher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3543 E. Meridian Park Loop, Wasilla, AK 99654 Phone: 605-280-8413 | |
Andrea Stauner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 Fax: 907-357-2529 | |
Wasilla Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654 Phone: 907-376-7334 Fax: 907-373-1429 | |
Marcia Everson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 N Shoreline Dr, Wasilla, AK 99654 Phone: 907-376-6363 Fax: 907-376-6366 |