| |
3406 Glacier Hwy Juneau AK 99801-9501 | |
(907) 463-3303 | |
(907) 463-6858 |
Full Name | |
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Speciality | Community/Behavioral Health |
Location | 3406 Glacier Hwy, Juneau, Alaska |
Authorized Official Name and Position | Erika Lindsey (OPERATIONS SUPPORT SPECIALIST) |
Authorized Official Contact | 9074636852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3406 Glacier Hwy Juneau AK 99801-9501 Ph: (907) 463-3303 | 3406 Glacier Hwy Juneau AK 99801-9501 Ph: (907) 463-3303 |
NPI Number | 1720126626 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 12/20/2024 |
Medicare PECOS PAC ID | 5799677480 |
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Medicare Enrollment ID | O20040326001287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720126626 | NPI | - | NPPES |
MH3303 | Medicaid | AK | |
1021050 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 277494 (Alaska) | Primary |
Provider Name | Rachel Gearhart |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205075157 PECOS PAC ID: 5294870614 Enrollment ID: I20100309000706 |
Provider Name | Corrine Tess Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609507508 PECOS PAC ID: 4385029214 Enrollment ID: I20220913003983 |
Provider Name | Jason B Deluisa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629200894 PECOS PAC ID: 4486791548 Enrollment ID: I20230712001972 |
Provider Name | Betty Christian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225652753 PECOS PAC ID: 2264856228 Enrollment ID: I20240105004173 |
Provider Name | Charles Renick |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629470026 PECOS PAC ID: 1557803749 Enrollment ID: I20240603003534 |
Provider Name | Michael Craig Smith |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821215138 PECOS PAC ID: 4284176413 Enrollment ID: I20240604000568 |
Provider Name | James Emory Welch |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528490893 PECOS PAC ID: 5991890311 Enrollment ID: I20240604000673 |
Provider Name | Becky A Iverson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003521188 PECOS PAC ID: 8022553148 Enrollment ID: I20240712003900 |
Provider Name | Haminah Laverne Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194288670 PECOS PAC ID: 0749716579 Enrollment ID: I20241204000382 |
Jamhi Health & Wellness, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 | |
Family Practice Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10301 Glacier Hwy, Juneau, AK 99801 Phone: 907-789-2910 Fax: 907-789-5545 | |