White Spruce Medical Inc is a medicare enrolled "Naturopath" provider in Fairbanks, Alaska. Their current practice location is
1275 Sadler Way Ste 104, Fairbanks, Alaska. You can reach out to their office (for appointments etc.) via phone at
(907) 452-3600.
White Spruce Medical Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. White Spruce Medical Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215983259.
Healthcare Provider's Profile
| Full Name | White Spruce Medical Inc |
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| Type | Facility |
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| Speciality | Naturopath |
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| Location | 1275 Sadler Way Ste 104, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215983259
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 09/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082528773
- Enrollment ID: O20031118000019
Medical Identifiers
Medical identifiers for White Spruce Medical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215983259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
White Spruce Medical Inc acts as a billing entity for following providers:
| Provider Name | Shawna Anne Victorino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1740476126
PECOS PAC ID: 1850477787
Enrollment ID: I20080318000588 |
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| Provider Name | Billy D.c. Mcafee |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1306839477
PECOS PAC ID: 7719876697
Enrollment ID: I20130201000028 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. White Spruce Medical Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
White Spruce Medical Inc
104 Kutter Rd,
Fairbanks, AK 99701-3169
Ph: (907) 452-3600 | White Spruce Medical Inc
1275 Sadler Way Ste 104,
Fairbanks, AK 99701-3175
Ph: (907) 452-3600 |
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