Mt Sanford Tribal Consortium is a medicare enrolled primary clinic (Clinic/center - Community Health) in Mentasta, Alaska. The current practice location for Mt Sanford Tribal Consortium is Mile 7 Mentasta Road, Mentasta, Alaska. For appointments, you can reach them via phone at
(907) 291-2320. The mailing address for Mt Sanford Tribal Consortium is Po Box 357, Gakona, Alaska and phone number is (907) 822-5399.
Mt Sanford Tribal Consortium is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1437378189. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(907) 291-2320.
Primary Care Clinic Profile
| Full Name | Mt Sanford Tribal Consortium |
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| Speciality | Clinic/Center |
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| Location | Mile 7 Mentasta Road, Mentasta, Alaska |
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| Authorized Official Name and Position | George Thomas Drinkwater (CHAP CLINIC DIRECTOR) |
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| Authorized Official Contact | 9078225399 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mt Sanford Tribal Consortium
Po Box 357
Gakona
AK 99586-0357
Ph: (907) 822-5399 | Mt Sanford Tribal Consortium
Mile 7 Mentasta Road
Mentasta
AK 99780
Ph: (907) 291-2320 |
NPI Details:
| NPI Number | 1437378189 |
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| Provider Enumeration Date | 04/24/2007 |
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| Last Update Date | 03/02/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355502485 |
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| Medicare Enrollment ID | O20120416000794 |
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Medical Identifiers
Medical identifiers for Mt Sanford Tribal Consortium such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437378189 | NPI | - | NPPES |
| CL3492 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mt Sanford Tribal Consortium acts as a billing entity for following providers:
| Provider Name | Diane L Duntze |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1609990670
PECOS PAC ID: 5395926224
Enrollment ID: I20120501000390 |
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