| Dr Danita Nevitt Koehler, MD | |
|
1060 Gaffney Rd, Ft Wainwright, AK 99703-5001 | |
| (907) 361-5345 | |
| Not Available |
| Full Name | Dr Danita Nevitt Koehler |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 36 Years |
| Location | 1060 Gaffney Rd, Ft Wainwright, Alaska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750455150 | NPI | - | NPPES |
| 11272 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3184 (Alaska) | Primary |
| 207Q00000X | Family Medicine | 3184 (Alaska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Edgecumbe Hospital | Sitka, AK | Hospital |
| Searhc Wrangell Medical Center-cah | Wrangell, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
| 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 |
| Entity Name | Eastern Aleutian Tribes, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649332446 PECOS PAC ID: 2860301884 Enrollment ID: O20180413000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Danita Nevitt Koehler, MD Hc 62 Box 5217, Delta Junction, AK 99737-9601 Ph: (907) 323-3034 | Dr Danita Nevitt Koehler, MD 1060 Gaffney Rd, Ft Wainwright, AK 99703-5001 Ph: (907) 361-5345 |
Dr. Thomas P Lyngholm, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd # 7440, Usa Meddac-ak, Mcuc-mmd-credentials, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4847 |