| Dr Mary Mckenzie Nettlow, MD | |
|
4300 B St, Suite 200, Anchorage, AK 99503-5925 | |
| (907) 375-3355 | |
| (907) 375-3351 |
| Full Name | Dr Mary Mckenzie Nettlow |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4300 B St, 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 |
|---|---|---|---|
| 1598862476 | NPI | - | NPPES |
| MD6018 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 6706 (Alaska) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Mckenzie Nettlow, MD 4300 B St, Suite 200, Anchorage, AK 99503-5925 Ph: (907) 375-3355 | Dr Mary Mckenzie Nettlow, MD 4300 B St, Suite 200, Anchorage, AK 99503-5925 Ph: (907) 375-3355 |
Dr. Michael James, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3801 University Lake Dr, Anchorage, AK 99508 Phone: 907-563-8876 Fax: 907-762-6315 | |
Erik A Olson, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Jared Robert Kirkham, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508 Phone: 907-563-3145 Fax: 833-464-5196 | |
Jennifer Lynn Andress, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11260 Old Seward Hwy, Anchorage, AK 99515 Phone: 907-341-5555 | |
Erik Marshall Kussro, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Jessica Marie Quinn, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1389 Huffman Park Dr Ste 140, Anchorage, AK 99515 Phone: 907-222-6122 | |
Crystal Marie Daniken, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9100 Centennial Cir, Anchorage, AK 99504 Phone: 907-333-8100 |