| David Summers Wichmann, DO | |
|
1650 Cowles St, Fairbanks, AK 99701-5998 | |
| (907) 458-3000 | |
| (907) 458-5694 |
| Full Name | David Summers Wichmann |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 1650 Cowles St, Fairbanks, 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 |
|---|---|---|---|
| 1295272417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 241993 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Valley Clinic Llc | 5698056901 | 142 |
| Entity Name | Tanana Valley Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| David Summers Wichmann, DO 1650 Cowles St, Fairbanks, AK 99701-5998 Ph: Not Available | David Summers Wichmann, DO 1650 Cowles St, Fairbanks, AK 99701-5998 Ph: (907) 458-3000 |
Bridget Humphries, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 |
Craig R. Thomas, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop Street, Suite 107, Fairbanks, AK 99701 Phone: 907-452-4101 |
Androcles Jay Lester, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5681 |
Nancy E Cross, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Suite 101, Fairbanks, AK 99701 Phone: 907-374-6602 Fax: 907-374-6604 |
Diana L Kovacich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way Ste 202, Fairbanks, AK 99701 Phone: 907-452-4101 |
William Walter Quirk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5681 |
Randall K Mcgregor, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618 |