| Dr Jessica Ellen Panko, MD | |
|
1650 Cowles St, Fairbanks, AK 99701-5999 | |
| (907) 452-6464 | |
| Not Available |
| Full Name | Dr Jessica Ellen Panko |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1650 Cowles St, Fairbanks, 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 |
|---|---|---|---|
| 1366641060 | NPI | - | NPPES |
| MD9507 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | S7195 (Alaska) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD161185 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Alaska Native Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Consultants A Professional Corp | 0749173029 | 11 |
| Fairbanks Ultrasound Llc. | 3577745264 | 7 |
| South Peninsula Hospital Inc | 5395636930 | 57 |
| Alaska Native Tribal Health Consortium | 6709780265 | 504 |
| Tanana Chiefs Conference | 9537050109 | 136 |
| Entity Name | Radiology Consultants A Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124056734 PECOS PAC ID: 0749173029 Enrollment ID: O20040203000194 |
| Entity Name | South Peninsula Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583 |
| Entity Name | Fairbanks Ultrasound Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455809 PECOS PAC ID: 3577745264 Enrollment ID: O20170706001834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Ellen Panko, MD 3427 E Tudor Rd, Ste A, Anchorage, AK 99507-1282 Ph: (907) 456-2784 | Dr Jessica Ellen Panko, MD 1650 Cowles St, Fairbanks, AK 99701-5999 Ph: (907) 452-6464 |
Claire Margaret Waite, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
David L Evans, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
Dr. Jedidiah Jonah Malan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 815 2nd Ave, Suite 202, Fairbanks, AK 99701 Phone: 316-519-7664 | |
Theresa Joanne Shanley, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
Mark Nathan Burton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
Joel Marquess, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 704-355-0221 Fax: 704-355-0770 |