| Alcan Medical Group Llc | |
|
751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 | |
| (303) 472-6424 | |
| Not Available |
| Full Name | Alcan Medical Group Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 751 Old Richardson Hwy Ste 203, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134739485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James H Price |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306898705 PECOS PAC ID: 5092805002 Enrollment ID: I20071214000058 |
| Provider Name | Casey Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396295374 PECOS PAC ID: 6608125893 Enrollment ID: I20180821003606 |
| Provider Name | Kristy Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824843 PECOS PAC ID: 8628404415 Enrollment ID: I20200217000102 |
| Provider Name | Ashley Carolyn Brouwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821256751 PECOS PAC ID: 2860566007 Enrollment ID: I20200331003835 |
| Provider Name | Melinda Lee Turcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083203574 PECOS PAC ID: 2769882141 Enrollment ID: I20210608000592 |
| Provider Name | Tiffany Jeanette Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285224220 PECOS PAC ID: 0244635233 Enrollment ID: I20210830002212 |
| Provider Name | Brianna Kamiel Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174288286 PECOS PAC ID: 1759772726 Enrollment ID: I20211229002422 |
| Provider Name | Joan M Digeorge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255102513 PECOS PAC ID: 4688011224 Enrollment ID: I20240319001937 |
| Provider Name | Jorge A. Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396598579 PECOS PAC ID: 5496290082 Enrollment ID: I20240708002067 |
| Mailing Address | Practice Location Address |
|---|---|
| Alcan Medical Group Llc 751 Old Richardson Hwy Ste 101, Fairbanks, AK 99701-7802 Ph: (907) 328-0844 | Alcan Medical Group Llc 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 Ph: (303) 472-6424 |