Dahl Memorial Clinic - Medicare Primary Care in Skagway, AK

Dahl Memorial Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Skagway, Alaska. The current practice location for Dahl Memorial Clinic is 350 14th Avenue, Skagway, Alaska. For appointments, you can reach them via phone at (907) 983-2255. The mailing address for Dahl Memorial Clinic is Po Box 537, Skagway, Alaska and phone number is (907) 983-2255.

Dahl Memorial Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063574200. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (907) 983-2255.

Contact Information

Dahl Memorial Clinic
350 14th Avenue
Skagway
AK 99840
(907) 983-2255
(907) 983-2793

Map and Direction


Primary Care Clinic Profile

Full NameDahl Memorial Clinic
SpecialityClinic/Center
Location350 14th Avenue, Skagway, Alaska
Authorized Official Name and PositionEstelita Fielding (ADMINISTRATIVE MANAGER)
Authorized Official Contact9079832255
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dahl Memorial Clinic
Po Box 537
Skagway
AK 99840-0537

Ph: (907) 983-2255
Dahl Memorial Clinic
350 14th Avenue
Skagway
AK 99840

Ph: (907) 983-2255

NPI Details:

NPI Number1063574200
Provider Enumeration Date12/14/2006
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244227726
Medicare Enrollment IDO20040427001153

Medical Identifiers

Medical identifiers for Dahl Memorial Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063574200NPI-NPPES
021836OtherAKMEDICARE FQHC
153026OtherAKMEDICARE PART B
1029911MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (Alaska)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (Alaska)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dahl Memorial Clinic acts as a billing entity for following providers:
Provider NameAnn Ehret
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386672400
PECOS PAC ID: 3476649740
Enrollment ID: I20071017000842
Provider NameMarjorie Ackerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770974008
PECOS PAC ID: 1557688694
Enrollment ID: I20150328000330
Provider NameNicholas Newbury
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417214933
PECOS PAC ID: 1153611058
Enrollment ID: I20160606001573
Provider NameKaren Lynn Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306194576
PECOS PAC ID: 5890937726
Enrollment ID: I20190408002452
Provider NameNicholas Rosenfeld
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750701793
PECOS PAC ID: 0547487712
Enrollment ID: I20200116002358
Provider NameThomas H Wendel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790720258
PECOS PAC ID: 0345240255
Enrollment ID: I20200416003489
Provider NameKathleen C Rooney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932351871
PECOS PAC ID: 3173686094
Enrollment ID: I20220412002785
Provider NameTracey L Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306247796
PECOS PAC ID: 4284926254
Enrollment ID: I20220817000613
Provider NameMichelle J Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346717428
PECOS PAC ID: 2466794961
Enrollment ID: I20220823002386
Provider NameBrittany Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871851022
PECOS PAC ID: 5799948873
Enrollment ID: I20230109001183
Provider NameLaura Brewer James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972881175
PECOS PAC ID: 5193983427
Enrollment ID: I20230510002713
Provider NameJason B Deluisa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629200894
PECOS PAC ID: 4486791548
Enrollment ID: I20230712001972
Provider NameKira Kristina Lathrop
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609223809
PECOS PAC ID: 4880042704
Enrollment ID: I20231201002486
Provider NameJodi Bauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376889279
PECOS PAC ID: 9830336619
Enrollment ID: I20240108006232
Provider NameNicolette Broby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235641382
PECOS PAC ID: 0345500674
Enrollment ID: I20240131005123
Provider NameColleen Slate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922246503
PECOS PAC ID: 0547317125
Enrollment ID: I20240221003910

Reviews and Comments


Clinic/Center in Skagway, AK


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.