| Atlas Medical Alaska Llc | |
|
950 E Bogard Rd Ste 228 Wasilla AK 99654-7185 | |
| (907) 215-4846 | |
| (907) 215-4847 |
| Full Name | Atlas Medical Alaska Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 E Bogard Rd Ste 228, Wasilla, Alaska |
| Authorized Official Name and Position | Tyler Pace (DIRECTOR) |
| Authorized Official Contact | 9072154846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Medical Alaska Llc 950 E Bogard Rd Ste 228 Wasilla AK 99654-7185 Ph: (907) 215-4846 | Atlas Medical Alaska Llc 950 E Bogard Rd Ste 228 Wasilla AK 99654-7185 Ph: (907) 215-4846 |
| NPI Number | 1376213207 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 0345630463 |
|---|---|
| Medicare Enrollment ID | O20211205000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376213207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Norvin Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346235819 PECOS PAC ID: 9739120189 Enrollment ID: I20061120000604 |
| Provider Name | Darlene S Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487637948 PECOS PAC ID: 9739377250 Enrollment ID: I20121212000608 |
| Provider Name | Nathan Neves George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134638141 PECOS PAC ID: 3375809387 Enrollment ID: I20171108000339 |
| Provider Name | Rachel Elizabeth Rekow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659996049 PECOS PAC ID: 6103243712 Enrollment ID: I20200819001486 |
| Provider Name | Allan Alberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710992581 PECOS PAC ID: 0941202121 Enrollment ID: I20201001001053 |
| Provider Name | Laura Jean-francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114253978 PECOS PAC ID: 0547302382 Enrollment ID: I20220222000228 |
| Provider Name | Rhonda Price Burt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013665587 PECOS PAC ID: 7113314733 Enrollment ID: I20220429001559 |
| Provider Name | Candice Renee Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184094930 PECOS PAC ID: 0840592770 Enrollment ID: I20220517002504 |
| Provider Name | Brandie Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588286850 PECOS PAC ID: 8527466721 Enrollment ID: I20220728002190 |
| Provider Name | Darrin Elliott Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467471722 PECOS PAC ID: 8527952191 Enrollment ID: I20220907002959 |
| Provider Name | Kurtis Russell Hoffpauir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720705155 PECOS PAC ID: 0941677686 Enrollment ID: I20221109000848 |
| Provider Name | Katlyn Ann Ferguson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962009829 PECOS PAC ID: 4082081674 Enrollment ID: I20221111000489 |
| Provider Name | Sarah J Conkey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720795982 PECOS PAC ID: 1850768367 Enrollment ID: I20221111001671 |
| Provider Name | Jessica Ann Louise Andrew |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962111443 PECOS PAC ID: 9638548803 Enrollment ID: I20221209000982 |
| Provider Name | Michelle Leiolani Vanderpool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477224426 PECOS PAC ID: 7012362775 Enrollment ID: I20231016002475 |
| Provider Name | Shane Willis Mozingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295347474 PECOS PAC ID: 5991157505 Enrollment ID: I20240119000787 |
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