| Mat - Su Health Services Inc. | |
|
1363 W Spruce Ave Wasilla AK 99654-5327 | |
| (907) 376-2411 | |
| (907) 352-3363 |
| Full Name | Mat - Su Health Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1363 W Spruce Ave, Wasilla, Alaska |
| Authorized Official Name and Position | Kevin Munson (CEO) |
| Authorized Official Contact | 9073762411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mat - Su Health Services Inc. 1363 W Spruce Ave Wasilla AK 99654-5327 Ph: (907) 376-2411 | Mat - Su Health Services Inc. 1363 W Spruce Ave Wasilla AK 99654-5327 Ph: (907) 376-2411 |
| NPI Number | 1184725210 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 06/10/2010 |
| Medicare PECOS PAC ID | 2567354533 |
|---|---|
| Medicare Enrollment ID | O20040325000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184725210 | NPI | - | NPPES |
| RH779FQ | Medicaid | AK | |
| MH0469 | Medicaid | AK |
| Provider Name | Donna Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285715805 PECOS PAC ID: 7214840107 Enrollment ID: I20031106000777 |
| Provider Name | Sara L Hornbein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578787800 PECOS PAC ID: 0648263830 Enrollment ID: I20040908000827 |
| Provider Name | John A Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699953158 PECOS PAC ID: 8123065752 Enrollment ID: I20050414000557 |
| Provider Name | Lynn G Branson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467620112 PECOS PAC ID: 8729016522 Enrollment ID: I20050802001150 |
| Provider Name | Harriet L Loo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326196692 PECOS PAC ID: 9638127699 Enrollment ID: I20070705000573 |
| Provider Name | Rebecca Sc White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205843430 PECOS PAC ID: 6800989807 Enrollment ID: I20070918000347 |
| Provider Name | Kathleen E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326010232 PECOS PAC ID: 7012004013 Enrollment ID: I20071107000157 |
| Provider Name | Jean A Boga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063525145 PECOS PAC ID: 3173601952 Enrollment ID: I20080418000305 |
| Provider Name | June A Ober |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326076597 PECOS PAC ID: 4486732765 Enrollment ID: I20080428000335 |
| Provider Name | Cynthia G Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962415349 PECOS PAC ID: 3870663750 Enrollment ID: I20080604000220 |
| Provider Name | Susanne R Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679500060 PECOS PAC ID: 5092855080 Enrollment ID: I20091223000342 |
| Provider Name | Dianne Katharine Bethana Maythorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518185388 PECOS PAC ID: 7214110584 Enrollment ID: I20110323000865 |
| Provider Name | Kristen Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801040811 PECOS PAC ID: 1355406133 Enrollment ID: I20131210000302 |
| Provider Name | Ellen K Linsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770751554 PECOS PAC ID: 6709016660 Enrollment ID: I20140221000117 |
| Provider Name | Janet L Bogard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386810844 PECOS PAC ID: 3173840279 Enrollment ID: I20150331000540 |
| Provider Name | Phyllis L Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477945343 PECOS PAC ID: 7315267549 Enrollment ID: I20150528002947 |
| Provider Name | Robin Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043482052 PECOS PAC ID: 2860794062 Enrollment ID: I20160105002015 |
| Provider Name | Lisa M Bouyea-francies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013308543 PECOS PAC ID: 0042536906 Enrollment ID: I20160517001694 |
| Provider Name | Rita Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689748840 PECOS PAC ID: 6305982000 Enrollment ID: I20161214002437 |
| Provider Name | Maria V Gornostaeva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568700870 PECOS PAC ID: 9133433170 Enrollment ID: I20170307002087 |
| Provider Name | Angela May-marie Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578014122 PECOS PAC ID: 5294001509 Enrollment ID: I20171031002476 |
| Provider Name | Karen Rose Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861897746 PECOS PAC ID: 4486909215 Enrollment ID: I20180620000763 |
| Provider Name | Kimberly Estelle Runyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952655235 PECOS PAC ID: 4880949395 Enrollment ID: I20180622002353 |
| Provider Name | Kathryn Jane Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992007603 PECOS PAC ID: 4880926773 Enrollment ID: I20191025001252 |
| Provider Name | Lorraine Melanie Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326376179 PECOS PAC ID: 1658791066 Enrollment ID: I20201022003639 |
| Provider Name | Niki Knowlton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841814282 PECOS PAC ID: 6002224904 Enrollment ID: I20210414000191 |
| Provider Name | Janet Lynn Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130238 PECOS PAC ID: 1557403813 Enrollment ID: I20210518001780 |
| Provider Name | Bradley Jay Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306367479 PECOS PAC ID: 1658775143 Enrollment ID: I20210805000758 |
| Provider Name | Ryan Michael Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427643337 PECOS PAC ID: 6800284142 Enrollment ID: I20211019002625 |
| Provider Name | Kristel Winebarger Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164408126 PECOS PAC ID: 5890766539 Enrollment ID: I20211027000734 |
| Provider Name | Shannon D Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379184 PECOS PAC ID: 0345631032 Enrollment ID: I20220107000927 |
| Provider Name | Paris Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003301755 PECOS PAC ID: 9436565769 Enrollment ID: I20220927000217 |
| Provider Name | Hannah Christine Grawey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134835788 PECOS PAC ID: 0345612958 Enrollment ID: I20230208001254 |
| Provider Name | Heidi Jo Freeborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881310068 PECOS PAC ID: 3072985423 Enrollment ID: I20230210001312 |
| Provider Name | Marlene Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578197190 PECOS PAC ID: 4183099542 Enrollment ID: I20230417002450 |
| Provider Name | Kirklin De Wayne Kinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437778602 PECOS PAC ID: 3173975828 Enrollment ID: I20240117004597 |
| Provider Name | Beth Romeo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609397793 PECOS PAC ID: 8820440548 Enrollment ID: I20240118002200 |
| Provider Name | Michelle Renea Anderson Higham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386267029 PECOS PAC ID: 7517310493 Enrollment ID: I20240126002053 |
Wild Iris Family Medicine And Maternity Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 851 E Westpoint Dr, Suite 207, Wasilla, AK 99654 Phone: 907-373-9463 | |
Family Medicine Of Alaska Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1261 S Seward Meridian Pkwy, Suite A, Wasilla, AK 99654 Phone: 907-376-1276 Fax: 907-373-0755 | |
Integrated Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 E Hjellen Drive, Wasilla, AK 99654 Phone: 907-696-1654 Fax: 907-696-3654 | |
Sunshine Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10015 Redington Rd, Wasilla, AK 99687 Phone: 907-733-2273 | |
Odland Family Practice Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Bogard Rd, Suite 234, Wasilla, AK 99654 Phone: 907-355-0850 Fax: 907-373-0117 | |
David L. Barnes, D.o. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 E Meridian Loop Ste A, Wasilla, AK 99654 Phone: 907-376-2868 Fax: 907-376-2811 | |
Alaska Heart Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Bogard Rd, Suite 207, Wasilla, AK 99654 Phone: 907-357-9444 |