| Bart D Worthington, DO | |
|
2957 Santa Patricia Ct, North Pole, AK 99705-6138 | |
| (907) 385-0257 | |
| Not Available |
| Full Name | Bart D Worthington |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 2957 Santa Patricia Ct, North Pole, 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 |
|---|---|---|---|
| 1205274347 | NPI | - | NPPES |
| 1712390 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.063615 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fireside Family Medicine Llc | 2668892373 | 2 |
| Seward Community Health Center Inc | 6800025768 | 11 |
| Entity Name | Seward Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356772024 PECOS PAC ID: 6800025768 Enrollment ID: O20141120000237 |
| Entity Name | Fireside Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831702455 PECOS PAC ID: 2668892373 Enrollment ID: O20201019002998 |
| Mailing Address | Practice Location Address |
|---|---|
| Bart D Worthington, DO 2957 Santa Patricia Ct, North Pole, AK 99705-6138 Ph: (907) 385-0257 | Bart D Worthington, DO 2957 Santa Patricia Ct, North Pole, AK 99705-6138 Ph: (907) 385-0257 |
Helyn M Lefgren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Santa Claus Lane, North Pole, AK 99705 Phone: 907-488-4433 | |
Dr. Peter Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 S Santa Claus Ln, North Pole, AK 99705 Phone: 907-488-4433 Fax: 907-488-9253 |