| Fairbanks Vascular Surgery | |
|
2485 Chief William Dr Ste 100 Fairbanks AK 99709-4873 | |
| (907) 328-0965 | |
| (907) 457-5278 |
| Full Name | Fairbanks Vascular Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 2485 Chief William Dr Ste 100, Fairbanks, Alaska |
| Authorized Official Name and Position | Hardeep Reddick (OWNER) |
| Authorized Official Contact | 4088008200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Vascular Surgery 2485 Chief William Dr Ste 100 Fairbanks AK 99709-4873 Ph: (907) 328-0965 | Fairbanks Vascular Surgery 2485 Chief William Dr Ste 100 Fairbanks AK 99709-4873 Ph: (907) 328-0965 |
| NPI Number | 1972240562 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 5092195156 |
|---|---|
| Medicare Enrollment ID | O20220706003932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972240562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Milan Bajmoczi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700012598 PECOS PAC ID: 8325271059 Enrollment ID: I20140804001619 |
Polar Wind Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1867 Airport Way Ste 140a, Fairbanks, AK 99701 Phone: 907-457-9355 Fax: 907-457-9356 | |
Alaska Occupational Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 203, Fairbanks, AK 99701 Phone: 907-456-2825 Fax: 907-451-0742 | |
University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
Joseph Daniel Grimes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3345 | |
Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 | |
Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |