| Anchorage Pulmonary Services Llc | |
|
2801 Debarr Rd Anchorage AK 99508-2932 | |
| (907) 276-1131 | |
| Not Available |
| Full Name | Anchorage Pulmonary Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Debarr Rd, Anchorage, Alaska |
| Authorized Official Name and Position | Kathleen Kondas (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Pulmonary Services Llc 5565 Centerview Dr Ste 107 Raleigh NC 27606-3563 Ph: () - | Anchorage Pulmonary Services Llc 2801 Debarr Rd Anchorage AK 99508-2932 Ph: (907) 276-1131 |
| NPI Number | 1710643119 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 2860873783 |
|---|---|
| Medicare Enrollment ID | O20220722001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710643119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Benjamin Gerke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255795621 PECOS PAC ID: 5698067064 Enrollment ID: I20220714003743 |
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