| Dr Anthony Lee Blanford, MD | |
|
122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | |
| (907) 459-3800 | |
| Not Available |
| Full Name | Dr Anthony Lee Blanford |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 122 1st Ave, 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 |
|---|---|---|---|
| 1396893749 | NPI | - | NPPES |
| MD1881 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | AA3540 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Alaska Department Of Administration | 5395638571 | 10 |
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Entity Name | State Of Alaska Department Of Administration |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497842553 PECOS PAC ID: 5395638571 Enrollment ID: O20040203000267 |
| 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 |
|---|---|
| Dr Anthony Lee Blanford, MD 1215 Baldwin Corners Rd, Fort Ann, NY 12827-4923 Ph: (907) 799-9231 | Dr Anthony Lee Blanford, MD 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 Ph: (907) 459-3800 |
Dr. Patrick D Dean, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles Street, Fairbanks, AK 99701 Phone: 907-458-5415 | |
Janice Onorato, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1867 Airport Way, Ste 205, Fairbanks, AK 99701 Phone: 907-455-7003 Fax: 866-465-7729 | |
Monique Dase Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-459-3800 | |
Ronald A Martino, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Ste 220, Fairbanks, AK 99701 Phone: 907-452-1739 Fax: 907-452-2384 | |
Adam Miguel Estevez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 160 Cowles St, Fairbanks Memorial Hospital, Fairbanks, AK 99701 Phone: 907-458-5525 Fax: 907-458-5514 | |
Dr. Sasha Elizabeth Ericksen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 122 1st Ave Ste 600, Fairbanks, AK 99701 Phone: 907-459-3800 Fax: 907-459-3810 | |
Victor Charles Bell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks Memorial Hospital, Fairbanks, AK 99701 Phone: 907-458-5525 Fax: 907-458-5514 |