Arctic Skye Family Medicime | |
2851 E Palmer Wasilla Hwy Ste 3 Wasilla AK 99654-7499 | |
(907) 357-7944 | |
(907) 357-7991 |
Full Name | Arctic Skye Family Medicime |
---|---|
Speciality | Family Medicine |
Location | 2851 E Palmer Wasilla Hwy Ste 3, Wasilla, Alaska |
Authorized Official Name and Position | Rebecca Sc White (OWNER/MEMBER) |
Authorized Official Contact | 9073577944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Arctic Skye Family Medicime 561 S Denali Suite E Palmer AK 99645 Ph: (907) 745-7944 | Arctic Skye Family Medicime 2851 E Palmer Wasilla Hwy Ste 3 Wasilla AK 99654-7499 Ph: (907) 357-7944 |
NPI Number | 1205035573 |
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Provider Enumeration Date | 07/16/2007 |
Last Update Date | 06/07/2024 |
Medicare PECOS PAC ID | 8325130305 |
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Medicare Enrollment ID | O20070822000808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205035573 | NPI | - | NPPES |
2726 | Other | AK | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2726 (Alaska) | Primary |
Provider Name | Rebecca Sc White |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205843430 PECOS PAC ID: 6800989807 Enrollment ID: I20070918000347 |
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