| Dr Benjamin Grant Ekstrom, MD | |
|
2925 Debarr Road St 240, Anchorage, AK 99508-2959 | |
| (907) 339-4650 | |
| (907) 339-4694 |
| Full Name | Dr Benjamin Grant Ekstrom |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 2925 Debarr Road St 240, Anchorage, 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 |
|---|---|---|---|
| 1740556992 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anchorage Anesthesia Medical Group Pc | 2163414830 | 35 |
| Neuroversion | 7012297062 | 10 |
| Entity Name | Providence Anchorage Anesthesia Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952 |
| Entity Name | Alaska Center For Pain Relief Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275922346 PECOS PAC ID: 1456672609 Enrollment ID: O20150601000644 |
| Entity Name | Neuroversion |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487102208 PECOS PAC ID: 7012297062 Enrollment ID: O20161208000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Grant Ekstrom, MD 2925 Debarr Road St 240, Anchorage, AK 99508-2959 Ph: (907) 339-4650 | Dr Benjamin Grant Ekstrom, MD 2925 Debarr Road St 240, Anchorage, AK 99508-2959 Ph: (907) 339-4650 |
Colby Parks, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Providence Anchorage Anesthesia Medical Group, P.c., Suite 207, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 | |
Thomas Weissmueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Providence Dr Ste 205, Anchorage, AK 99508 Phone: 907-561-1510 | |
Evan Braithwaite, Anesthesiology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Robert C Gudor, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2801 Debarr Rd, Anchorage, AK 99508 Phone: 907-258-2149 Fax: 907-258-2147 | |
Richard F Farah, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3300 Providence Dr, Suite 207, Providence Anchorage Anesthesia Medical Grou, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 | |
Stephen Roberts, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Katharine Lamperti, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 Providence Dr., Suite 207, Providence Anchorage Anesthesia Medical Group, P.c., Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 |