| Troy Medical | |
|
2555 Phillips Field Rd Fairbanks AK 99709-3933 | |
| (907) 328-2920 | |
| (907) 456-2914 |
| Full Name | Troy Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 Phillips Field Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Abigail Senesac Lopez (COO) |
| Authorized Official Contact | 8027341687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Medical 2555 Phillips Field Rd Fairbanks AK 99709-3933 Ph: (907) 268-2737 | Troy Medical 2555 Phillips Field Rd Fairbanks AK 99709-3933 Ph: (907) 328-2920 |
| NPI Number | 1760077747 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 9032514468 |
|---|---|
| Medicare Enrollment ID | O20210824001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760077747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Katherine E Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891999272 PECOS PAC ID: 5890877864 Enrollment ID: I20080129000798 |
| Provider Name | Brenda Goodwin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033183462 PECOS PAC ID: 9537255278 Enrollment ID: I20220124001718 |
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