| Angela Kay Clark, NP | |
|
1717 W Cowles St, Fairbanks, AK 99701-5926 | |
| (907) 451-6682 | |
| Not Available |
| Full Name | Angela Kay Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1717 W Cowles St, Fairbanks, Alaska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174810691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000015858 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5858 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Chiefs Conference | 9537050109 | 100 |
| Entity Name | Tanana Chiefs Conference |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Kay Clark, NP 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682 | Angela Kay Clark, NP 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682 |
Mrs. Kelly Kay Binkowski, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1626 30th Ave, Fairbanks, AK 99701 Phone: 907-479-7701 | |
Ms. Krista Marie Johnson, CNM, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2054 30th Ave, Fairbanks, AK 99701 Phone: 907-456-3719 Fax: 907-456-1511 | |
Janice L Stables, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Airport Way, Ste 110b, Fairbanks, AK 99701 Phone: 907-452-6330 Fax: 907-452-6335 | |
Anne Marie Lilley, RN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 Sadler Way, #101, Fairbanks, AK 99701 Phone: 907-361-6370 Fax: 907-361-6372 | |
Susana Donofry, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 565 University Ave Ste 1, Fairbanks, AK 99709 Phone: 215-704-1238 | |
Alyce Lynne Weckwerth, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-451-6251 | |
Mrs. Shannon Kay Rhoton, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 217, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192 |