| Medicenter | |
|
10543 Kenai Spur Hwy Kenai AK 99611-7812 | |
| (907) 283-9118 | |
| (907) 283-5341 |
| Full Name | Medicenter |
|---|---|
| Speciality | Family Medicine |
| Location | 10543 Kenai Spur Hwy, Kenai, Alaska |
| Authorized Official Name and Position | R Lynn Carlson (MANAGING PHYSICIAN) |
| Authorized Official Contact | 9072839118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicenter 10543 Kenai Spur Hwy Kenai AK 99611-7812 Ph: (907) 283-9118 | Medicenter 10543 Kenai Spur Hwy Kenai AK 99611-7812 Ph: (907) 283-9118 |
| NPI Number | 1811135247 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 02/14/2014 |
| Medicare PECOS PAC ID | 9830084177 |
|---|---|
| Medicare Enrollment ID | O20040217000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135247 | NPI | - | NPPES |
| MPG0152 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul D Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912075920 PECOS PAC ID: 8123930401 Enrollment ID: I20031125000531 |
| Provider Name | Alfred R Lonser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245240308 PECOS PAC ID: 0143299453 Enrollment ID: I20041001000808 |
| Provider Name | Carol L Klamser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871599126 PECOS PAC ID: 5294800280 Enrollment ID: I20080827000116 |
| Provider Name | Andrea M Trescot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124001235 PECOS PAC ID: 2668385949 Enrollment ID: I20120515000222 |
| Provider Name | Timothy W Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326275082 PECOS PAC ID: 3274787932 Enrollment ID: I20140102001615 |
| Provider Name | Leon Anthony Richard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255649976 PECOS PAC ID: 2961303482 Enrollment ID: I20150316000798 |
| Provider Name | Joshua B Balch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619267630 PECOS PAC ID: 1557671260 Enrollment ID: I20151110000552 |
| Provider Name | Joanna Oliver Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508300922 PECOS PAC ID: 3971889601 Enrollment ID: I20170412002150 |
| Provider Name | Cherie M Inglis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033399233 PECOS PAC ID: 7315005121 Enrollment ID: I20180122001037 |
| Provider Name | Pennie Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568991305 PECOS PAC ID: 3274896725 Enrollment ID: I20180413001648 |
| Provider Name | Tanecia M Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356821540 PECOS PAC ID: 6305198995 Enrollment ID: I20181009003528 |
Kenai Medical Center - Cph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Suite 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 | |
Capstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-357-9590 Fax: 907-357-9593 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Frontage Rd # 400, Kenai, AK 99611 Phone: 509-222-1275 Fax: 509-491-3031 | |
Independence Healthcare Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Trading Bay Rd Ste 8, Kenai, AK 99611 Phone: 907-283-4633 Fax: 907-262-0832 | |
Kenai Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Bidarka St, Suite 101, Kenai, AK 99611 Phone: 907-335-0034 Fax: 907-335-0064 | |
Redoubt Medical Group Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Frontage Rd Ste 200, Kenai, AK 99611 Phone: 907-283-6030 Fax: 907-283-3194 | |
Kenai Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Ste 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 |