- Medicare Podiatrist in Anchorage, AK

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is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Anchorage, Alaska. Their current practice location is 4100 Lake Otis Pkwy, Suite 312, Anchorage, Alaska. You can reach out to their office (for appointments etc.) via phone at (907) 569-3668.

is licensed to practice in Alaska (license number 4087) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316046790.

Contact Information

4100 Lake Otis Pkwy, Suite 312,
Anchorage, AK 99508-5222
(907) 569-3668
(907) 569-3669

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location4100 Lake Otis Pkwy, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316046790
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779496294
  • Enrollment ID: O20031111000251

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316046790NPI-NPPES
PD5195MedicaidAK
PD3497MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 4087 (Alaska)Primary
213ES0103XPodiatrist - Foot & Ankle Surgery 3497 (Alaska)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMatt A Heilala
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1821135427
PECOS PAC ID: 8820901226
Enrollment ID: I20031117000513
Provider NameJennifer R Jansma
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255478863
PECOS PAC ID: 9133159346
Enrollment ID: I20050817000733
Provider NameRebecca R Tamaki
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063661858
PECOS PAC ID: 9436203346
Enrollment ID: I20090812000111
Provider NameDavid B Randall
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1710976535
PECOS PAC ID: 9739087628
Enrollment ID: I20120312000214
Provider NameAmy Sauck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003076571
PECOS PAC ID: 9032339940
Enrollment ID: I20140926002289
Provider NameMary Decourcey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386060291
PECOS PAC ID: 0143532952
Enrollment ID: I20150708001409
Provider NameBarbara Ann Lemmel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639552466
PECOS PAC ID: 8325356710
Enrollment ID: I20151005002382
Provider NameChristopher Jetter
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1457615064
PECOS PAC ID: 3779866181
Enrollment ID: I20170209000995
Provider NameReid Goneau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922611730
PECOS PAC ID: 1456779099
Enrollment ID: I20200915001306
Provider NameCaitlin Justine Koelling
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1063917177
PECOS PAC ID: 4880941210
Enrollment ID: I20210715003432
Provider NameIvona Velovic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689346462
PECOS PAC ID: 1153710462
Enrollment ID: I20211108001091
Provider NameHeather Hassett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710556279
PECOS PAC ID: 0042695009
Enrollment ID: I20220913000261
Provider NameBrandon Shink
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710430228
PECOS PAC ID: 2769893908
Enrollment ID: I20221130003047
Provider NameSarah Stengle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285408609
PECOS PAC ID: 4284083395
Enrollment ID: I20231214003413

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4100 Lake Otis Pkwy, Suite 312,
Anchorage, AK 99508-5222

Ph: (907) 569-3668
4100 Lake Otis Pkwy, Suite 312,
Anchorage, AK 99508-5222

Ph: (907) 569-3668

Reviews and Comments


Podiatrist in Anchorage, AK

Sheryse Desiree Mobley, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Zeamer Ave Elmendorf Afb, Anchorage, AK 99506
Phone: 907-580-2778    
Caitlin Justine Koelling, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508
Phone: 907-562-2277    Fax: 907-563-3460
Anchorage Foot And Ankle Clinic, Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1000 E Dimond Blvd, Suite 201, Anchorage, AK 99515
Phone: 907-344-2155    Fax: 907-344-8841
Dr. Jennifer Jansma, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508
Phone: 907-562-2277    Fax: 907-563-3460
Chugach Sports Foot And Ankle, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1917 Abbott Rd Ste 100, Anchorage, AK 99507
Phone: 907-931-1726    Fax: 907-931-9946
Dr. Jared Kern, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 1917 Abbott Rd Ste 100, Anchorage, AK 99507
Phone: 907-931-1726    Fax: 907-931-9946

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.