Mark A Mortier, | |
Commander Usa Meddac Ak Mcuc-mmd (attn Credentials), 1060 Gaffney Rd Ste 7440, Ft Wainwright, AK 99703-7440 | |
(907) 353-5418 | |
(907) 353-4847 |
Full Name | Mark A Mortier |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | Commander Usa Meddac Ak Mcuc-mmd (attn Credentials), Ft Wainwright, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003979246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | L0487 (Oregon) | Primary |
Entity Name | Genesis Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
Mailing Address | Practice Location Address |
---|---|
Mark A Mortier, Commander Usa Meddac Ak Mcuc-mmd (attn Credentials), 1060 Gaffney Rd Ste 7440, Ft Wainwright, AK 99703-7440 Ph: (907) 353-5418 | Mark A Mortier, Commander Usa Meddac Ak Mcuc-mmd (attn Credentials), 1060 Gaffney Rd Ste 7440, Ft Wainwright, AK 99703-7440 Ph: (907) 353-5418 |
Olen Hougen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd Ste 7440, Commander Usa Meddac Ak Mcuc Mmd, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4847 | |
Brian Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703 Phone: 907-361-5418 | |
Terry Bates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd #7440, Ft Wainwright, AK 99703 Phone: 907-361-5603 | |
Ann Sutherland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd Ste 7440, Commander Usa Meddac Ak Mcuc Mmd, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4847 | |
Cathy G Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703 Phone: 907-361-6059 | |
Mr. Jeremy John Senn, MA,LPC,LAC,NCC,MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4076 Neely Road, Bldg 4076, Room 3c-401, Ft Wainwright, AK 99703 Phone: 907-384-0405 |