| Bradley Jay Myers, | |
|
1363 W Spruce Ave, Wasilla, AK 99654-5327 | |
| (073) 762-4119 | |
| (073) 523-3639 |
| Full Name | Bradley Jay Myers |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 1363 W Spruce Ave, Wasilla, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306367479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mat - Su Health Services Inc. | 2567354533 | 23 |
| Entity Name | Mat - Su Health Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184725210 PECOS PAC ID: 2567354533 Enrollment ID: O20040325000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Jay Myers, 1363 W Spruce Ave, Wasilla, AK 99654-5327 Ph: (907) 352-3222 | Bradley Jay Myers, 1363 W Spruce Ave, Wasilla, AK 99654-5327 Ph: (073) 762-4119 |
Elizabeth Tucker Knecht, MS, CD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Diana Lucero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Mrs. Kaylea Ben-judah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5851 E Mayflower Ct, Wasilla, AK 99654 Phone: 907-376-4000 Fax: 907-373-1135 | |
Heidi Groshong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Gypsy Gillum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-376-3275 | |
Kiela Cott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Willow St, Wasilla, AK 99654 Phone: 907-373-4357 | |
Ms. Sarah Ruth Welton, M.S.C.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suite B, Wasilla, AK 99654 Phone: 907-373-5585 Fax: 907-373-5596 |