| Bradley W Wine, MD | |
|
911 Meals Ave, Valdez, AK 99686-0046 | |
| (907) 835-2249 | |
| Not Available |
| Full Name | Bradley W Wine |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 911 Meals Ave, Valdez, 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 |
|---|---|---|---|
| 1578126561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.MD61653822 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 913315 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Seward Hospital | Seward, AK | Hospital |
| Providence Valdez Medical Center | Valdez, AK | Hospital |
| Mt Edgecumbe Hospital | Sitka, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
| City Of Seward | 2466362280 | 16 |
| City Of Valdez | 3577514694 | 15 |
| Entity Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
| 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 |
|---|---|
| Bradley W Wine, MD 6615 Hilltop Ln Sw, Lakewood, WA 98499-1426 Ph: (316) 516-6170 | Bradley W Wine, MD 911 Meals Ave, Valdez, AK 99686-0046 Ph: (907) 835-2249 |
Corina Hopkins-vacca, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Meals Avenue, Valdez, AK 99686 Phone: 907-835-2249 Fax: 907-834-1890 | |
Dr. Kathleen G Todd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Meals Avenue, Valdez, AK 99686 Phone: 907-835-4811 Fax: 907-835-5162 | |
Dr. John S Cullen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Meals Ave., Valdez, AK 99686 Phone: 907-835-4811 Fax: 907-835-5162 |