| 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 | Harriet L Loo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326196692 PECOS PAC ID: 9638127699 Enrollment ID: I20070705000573 |
| 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 | 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 | Lisa M Bouyea-francies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013308543 PECOS PAC ID: 0042536906 Enrollment ID: I20160517001694 |
| 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 | Kimberly Estelle Runyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952655235 PECOS PAC ID: 4880949395 Enrollment ID: I20180622002353 |
| 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 | Laura Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184432 PECOS PAC ID: 4183989536 Enrollment ID: I20221115000664 |
| Provider Name | Hannah Christine Grawey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134835788 PECOS PAC ID: 0345612958 Enrollment ID: I20230208001254 |
| 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 |
| Provider Name | Erin Katherine Kettinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265713663 PECOS PAC ID: 7618400789 Enrollment ID: I20241028002434 |
| Provider Name | Nancy Gay Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992488472 PECOS PAC ID: 0648704759 Enrollment ID: I20241112004080 |
| Provider Name | Patrick Dennis Ventgen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174928113 PECOS PAC ID: 2163956483 Enrollment ID: I20241115002531 |
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 |