| Palmer Family Medicine Inc | |
|
634 S Bailey St Suite 104 Palmer AK 99645-6330 | |
| (907) 746-2345 | |
| Not Available |
| Full Name | Palmer Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 634 S Bailey St, Palmer, Alaska |
| Authorized Official Name and Position | Jason Ward Brooks (PHYSICIAN) |
| Authorized Official Contact | 9077460470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Family Medicine Inc 3680 S Sky Ranch Loop Palmer AK 99645-9008 Ph: (907) 746-0470 | Palmer Family Medicine Inc 634 S Bailey St Suite 104 Palmer AK 99645-6330 Ph: (907) 746-2345 |
| NPI Number | 1356368054 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 02/07/2014 |
| Medicare PECOS PAC ID | 1052316312 |
|---|---|
| Medicare Enrollment ID | O20060921000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356368054 | NPI | - | NPPES |
| 1020812 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4291 (Alaska) | Primary |
| Provider Name | Jason W Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164465712 PECOS PAC ID: 8628044450 Enrollment ID: I20040902001362 |
| Provider Name | Teresa Vial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689921512 PECOS PAC ID: 7517114473 Enrollment ID: I20170213000150 |
| Provider Name | Shelly Rana Budde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538652748 PECOS PAC ID: 9830449784 Enrollment ID: I20180913002713 |
| Provider Name | Danielle S Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669922506 PECOS PAC ID: 0143508127 Enrollment ID: I20181220002858 |
| Provider Name | Dawn Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002729 PECOS PAC ID: 3072814748 Enrollment ID: I20190205002239 |
| Provider Name | Nicole R Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588642771 PECOS PAC ID: 8123097052 Enrollment ID: I20200414002535 |
| Provider Name | Jared John Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659860724 PECOS PAC ID: 1951634641 Enrollment ID: I20210921000725 |
The Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 561 S Denali St Ste E, Palmer, AK 99645 Phone: 907-745-1777 Fax: 907-745-0226 | |
Providence Matanuska Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 S. Woodworth Loop, Suite 101, Palmer, AK 99645 Phone: 907-761-5900 Fax: 907-761-5975 | |
Bruck Clift Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 North Hemmer Road Suite 110, Palmer, AK 99645 Phone: 907-746-6686 Fax: 907-745-7182 | |
Peninsula Pediatric Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7335 Palmer Wasilla Hwy, Palmer, AK 99645 Phone: 907-250-1151 Fax: 907-782-4202 | |
Ideal Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W Evergreen Ave, Suite A, Palmer, AK 99645 Phone: 907-746-3366 | |
Family Life Matters, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16720 E Maud Rd, Palmer, AK 99645 Phone: 907-631-3684 Fax: 907-707-1212 | |
Lakeview Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 N Hemmer Rd Ste 211, Palmer, AK 99645 Phone: 907-203-4677 Fax: 907-745-3780 |