Bruck Clift Md | |
1901 North Hemmer Road Suite 110 Palmer AK 99645 | |
(907) 746-6686 | |
(907) 745-7182 |
Full Name | Bruck Clift Md |
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Speciality | Clinic/Center |
Location | 1901 North Hemmer Road Suite 110, Palmer, Alaska |
Authorized Official Name and Position | Nicholas Braman (BUSINESS MANAGER) |
Authorized Official Contact | 9077466686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bruck Clift Md Po Box 2646 Palmer AK 99645 Ph: (907) 746-6686 | Bruck Clift Md 1901 North Hemmer Road Suite 110 Palmer AK 99645 Ph: (907) 746-6686 |
NPI Number | 1154865228 |
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Provider Enumeration Date | 12/08/2016 |
Last Update Date | 05/29/2018 |
Medicare PECOS PAC ID | 4880979251 |
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Medicare Enrollment ID | O20170327001914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154865228 | NPI | - | NPPES |
1659361 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MEDS7621 (Alaska) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | 7621 (Alaska) | Primary |
Provider Name | Bruck Ann Clift |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790005551 PECOS PAC ID: 0840443750 Enrollment ID: I20140109000677 |
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