| Fred Ledbetter, LPC | |
|
1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | |
| (907) 631-7800 | |
| Not Available |
| Full Name | Fred Ledbetter |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1001 S Knik Goose Bay Rd, 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 |
|---|---|---|---|
| 1609453968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 182783 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcentral Foundation | 5496663627 | 168 |
| Entity Name | Southcentral Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Ledbetter, LPC 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: Not Available | Fred Ledbetter, LPC 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 Ph: (907) 631-7800 |
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 |
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 |
Holly Regallo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-313-1333 |
Theresa Marie Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-330-2487 |