| Michael Donnell, | |
|
6000 Kanakanak Road, Dillingham, AK 99576 | |
| (972) 533-3636 | |
| Not Available |
| Full Name | Michael Donnell |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 6000 Kanakanak Road, Dillingham, 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 |
|---|---|---|---|
| 1407449291 | NPI | - | NPPES |
| 1760671 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 193632 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bristol Bay Area Health Corporation | 5890699920 | 114 |
| Entity Name | Bristol Bay Area Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Donnell, Po Box 795, Dillingham, AK 99576-0795 Ph: Not Available | Michael Donnell, 6000 Kanakanak Road, Dillingham, AK 99576 Ph: (972) 533-3636 |
Melissa Yvette Britton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd., Dillingham, AK 99576 Phone: 907-842-9436 |
Nancy Joan Clodfelter, PHD, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250 |
Laetitia Marie Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-5201 |
Kyle Davis, M.A., CDC 1, BHA III Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Dillingham, AK 99576 Phone: 907-842-1230 |
Hector Bravo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd., Dillingham, AK 99576 Phone: 907-842-5266 Fax: 907-842-5915 |
Jason Charles Chocknok, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 130, Dillingham, AK 99576 Phone: 907-842-5201 |
Ms. Spruce Margaret Lynch, ABHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Road, Bristol Bay Area Health Corporation, Dillingham, AK 99576 Phone: 907-842-1230 |