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1700 E Parks Hwy #200 Wasilla AK 99654-7352 | |
| (907) 373-6055 | |
| (907) 373-6077 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 E Parks Hwy, Wasilla, Alaska |
| Authorized Official Name and Position | Deborah Louise Maclean (OFFICE MANAGER) |
| Authorized Official Contact | 9073417714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1700 E Parks Hwy #200 Wasilla AK 99654-7352 Ph: (907) 373-6055 | 1700 E Parks Hwy #200 Wasilla AK 99654-7352 Ph: (907) 373-6055 |
| NPI Number | 1316015480 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/23/2014 |
| Medicare PECOS PAC ID | 3274617253 |
|---|---|
| Medicare Enrollment ID | O20080229000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316015480 | NPI | - | NPPES |
| MDG016 | Medicaid | AK | |
| MDG017 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank A Greathouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780699330 PECOS PAC ID: 8325102536 Enrollment ID: I20090203000611 |
| Provider Name | Charles S Blackadar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821187899 PECOS PAC ID: 8325116429 Enrollment ID: I20150506000340 |
| Provider Name | Cori Ann Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194098947 PECOS PAC ID: 9133387913 Enrollment ID: I20190820002509 |
| Provider Name | Christine Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733157 PECOS PAC ID: 1254747983 Enrollment ID: I20210304000968 |
| Provider Name | Chelsey Eileen Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851968838 PECOS PAC ID: 2961808860 Enrollment ID: I20240321001204 |
Family Medicine Of Alaska Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1261 S Seward Meridian Pkwy, Suite A, Wasilla, AK 99654 Phone: 907-376-1276 Fax: 907-373-0755 | |
Integrated Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 E Hjellen Drive, Wasilla, AK 99654 Phone: 907-696-1654 Fax: 907-696-3654 | |
Sunshine Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10015 Redington Rd, Wasilla, AK 99687 Phone: 907-733-2273 | |
Odland Family Practice Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 E Bogard Rd, Suite 234, Wasilla, AK 99654 Phone: 907-355-0850 Fax: 907-373-0117 | |
David L. Barnes, D.o. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 E Meridian Loop Ste A, Wasilla, AK 99654 Phone: 907-376-2868 Fax: 907-376-2811 | |
Alaska Heart Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Bogard Rd, Suite 207, Wasilla, AK 99654 Phone: 907-357-9444 |