| Dr Joseph Charles Livengood, MD | |
|
1650 Cowles St, Fairbanks, AK 99701-5907 | |
| (907) 458-5358 | |
| Not Available |
| Full Name | Dr Joseph Charles Livengood |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 1650 Cowles St, 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 |
|---|---|---|---|
| 1518948447 | NPI | - | NPPES |
| 116218700 | Medicaid | WY | |
| 69307563 | Medicaid | CO | |
| 1440711-01 | Medicaid | TX | |
| 1584760 | Medicaid | AK | |
| P00944662 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
| 84151469200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MEDS7502 (Alaska) | Primary |
| 208600000X | Surgery | MD60832644 (Washington) | Secondary |
| 208600000X | Surgery | 37815 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Peacehealth | 9436067618 | 57 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
| 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 Joseph Charles Livengood, MD 759 Haida Ln, Fairbanks, AK 99712-2925 Ph: (907) 370-2533 | Dr Joseph Charles Livengood, MD 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 458-5358 |
Arlene Gay Kirschner, M.D. APC Surgery Medicare: Accepting Medicare Assignments Practice Location: 3419 Airport Way Ste B, Fairbanks, AK 99709 Phone: 907-474-4745 Fax: 907-374-8715 | |
Dr. Rashna Farhad Ginwalla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-2652 | |
Christopher J Jensen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2485 Chief William Dr, Suite 100, Fairbanks, AK 99709 Phone: 907-457-5277 Fax: 907-457-5278 | |
Dr. Mark Timothy Kowal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St, Ste 202, Fairbanks, AK 99701 Phone: 907-451-5507 Fax: 907-451-5590 | |
Dr. John Richard Mayer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way, Suite 120b, Fairbanks, AK 99701 Phone: 907-457-5050 Fax: 907-457-5034 | |
Danny Ray Robinette, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Suite 102, Fairbanks, AK 99701 Phone: 907-451-6142 Fax: 907-451-6284 | |
William Henry Montano, MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St, Suite 204, Fairbanks, AK 99701 Phone: 907-452-8151 Fax: 907-452-8153 |