| David L. Barnes, D.o. Pc | |
|
3719 E Meridian Loop Ste A Wasilla AK 99654-7273 | |
| (907) 376-2868 | |
| (907) 376-2811 |
| Full Name | David L. Barnes, D.o. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3719 E Meridian Loop Ste A, Wasilla, Alaska |
| Authorized Official Name and Position | David L. Barnes (PHYSICIAN) |
| Authorized Official Contact | 9073762868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Barnes, D.o. Pc 3719 E Meridian Loop Ste A Wasilla AK 99654-7273 Ph: (907) 376-2868 | David L. Barnes, D.o. Pc 3719 E Meridian Loop Ste A Wasilla AK 99654-7273 Ph: (907) 376-2868 |
| NPI Number | 1114958881 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 9739091075 |
|---|---|
| Medicare Enrollment ID | O20031104000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114958881 | NPI | - | NPPES |
| MD2641 | Medicaid | AK | |
| DD1707 | Other | AK | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5182 (Alaska) | Primary |
| Provider Name | David L Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124081211 PECOS PAC ID: 6305758640 Enrollment ID: I20031106000555 |
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