Dr Bruce Gentry Ensign, MD | |
4000 Ambassador Dr, Anchorage, AK 99508-5909 | |
(907) 729-1234 | |
(907) 729-1226 |
Full Name | Dr Bruce Gentry Ensign |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 4000 Ambassador Dr, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073502944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 13012 (Mississippi) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Mailing Address | Practice Location Address |
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Dr Bruce Gentry Ensign, MD 4000 Ambassador Dr, Anchorage, AK 99508-5909 Ph: (907) 729-1234 | Dr Bruce Gentry Ensign, MD 4000 Ambassador Dr, Anchorage, AK 99508-5909 Ph: (907) 729-1234 |
Dr. Steven A Jayich, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2801 Debarr Rd, Department Of Pathology, Anchorage, AK 99508 Phone: 907-264-1171 Fax: 907-264-1702 | |
Lisbeth A Gallagher, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Providence Dr, Anchorage, AK 99508 Phone: 907-562-2211 Fax: 907-565-8066 | |
Donald Wayne Varner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Dr. Megan C Davies, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Providence Dr, Pamc Laboratory, Anchorage, AK 99508 Phone: 828-712-2796 | |
James Jay Tiesinga, MD Pathology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Attn: Sherry Reedy, Anchorage, AK 99508 Phone: 907-729-3971 Fax: 907-729-1542 | |
Thomas S Mego, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Providence Dr, Anchorage, AK 99508 Phone: 907-562-2201 |