| Andrew D Pankow, MD | |
|
3100 Tongass Ave, Ketchikan, AK 99901-5746 | |
| (907) 228-8140 | |
| (907) 228-8440 |
| Full Name | Andrew D Pankow |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 3100 Tongass Ave, Ketchikan, 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 |
|---|---|---|---|
| 1790711992 | NPI | - | NPPES |
| 201209 | Other | WA | WASHINGTON L&I |
| MD33061 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3306 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 9436067618 | 57 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew D Pankow, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8300 | Andrew D Pankow, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8140 |
Kathryn Lynn Price, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Diane L Liljegren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440 | |
Mr. Mark Edward Mitchell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2960 Tongass Avenue, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Jeanne Marie Snyder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1621 Tongass Ave, Suite 304, Ketchikan, AK 99901 Phone: 907-225-6699 Fax: 907-247-1199 |