- Podiatrist in Eagle River, AK

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is a Podiatrist based in Eagle River, Alaska. is licensed to practice in Alaska (license number 3626) and their current practice location is 22434 Eagle Glacier Loop, P.o. B. 772394-2394, Eagle River, Alaska. It can be reached at their office (for appointments etc.) via phone at (907) 694-7942.

NPI number for is 1265562623 and their current mailing address is Po Box 772394, 22434 Eagle Glacier Loop, Eagle River, Alaska. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265562623.

Contact Information

22434 Eagle Glacier Loop, P.o. B. 772394-2394,
Eagle River, AK 99577-9531
(907) 694-7942
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist
Location22434 Eagle Glacier Loop, Eagle River, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265562623
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265562623NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 3626 (Alaska)Primary

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 NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 772394, 22434 Eagle Glacier Loop,
Eagle River, AK 99577-2394

Ph: (907) 694-7942
22434 Eagle Glacier Loop, P.o. B. 772394-2394,
Eagle River, AK 99577-9531

Ph: (907) 694-7942

Reviews and Comments


Podiatrist in Eagle River, AK


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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.