| Vera Whole Health | |
|
582 E 36th Ave Ste 203 Anchorage AK 99503-4138 | |
| (907) 302-4950 | |
| (907) 302-4955 |
| Full Name | Vera Whole Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 582 E 36th Ave Ste 203, Anchorage, Alaska |
| Authorized Official Name and Position | Janell Hansen (LICENSING ANALYST) |
| Authorized Official Contact | 2063956973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vera Whole Health 1201 2nd Ave Ste 1400 Seattle WA 98101-3020 Ph: (206) 395-6870 | Vera Whole Health 582 E 36th Ave Ste 203 Anchorage AK 99503-4138 Ph: (907) 302-4950 |
| NPI Number | 1255857876 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 5092182089 |
|---|---|
| Medicare Enrollment ID | O20221103002523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255857876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Heidi Baines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437104940 PECOS PAC ID: 9638184872 Enrollment ID: I20060209000423 |
| Provider Name | Dianne Katharine Bethana Maythorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518185388 PECOS PAC ID: 7214110584 Enrollment ID: I20110323000865 |
| Provider Name | Phyllis L Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477945343 PECOS PAC ID: 7315267549 Enrollment ID: I20150528002947 |
| Provider Name | Robert Christopher Mizen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427458744 PECOS PAC ID: 3274858154 Enrollment ID: I20180426000779 |
| Provider Name | Catherine Mizen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760465025 PECOS PAC ID: 0941104459 Enrollment ID: I20221118001010 |
| Provider Name | Casta Townsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174071641 PECOS PAC ID: 6002197183 Enrollment ID: I20221128001854 |
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