| Nicholas Bahl, MD | |
|
3066 E Meridian Park Loop, Wasilla, AK 99654-7254 | |
| (907) 357-2332 | |
| (907) 357-9593 |
| Full Name | Nicholas Bahl |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3066 E Meridian Park Loop, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083149777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 185227 (Alaska) | Primary |
| Entity Name | Medical Network Of Alaska Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538414834 PECOS PAC ID: 3072618859 Enrollment ID: O20070424000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Bahl, MD 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 Ph: (907) 864-4625 | Nicholas Bahl, MD 3066 E Meridian Park Loop, Wasilla, AK 99654-7254 Ph: (907) 357-2332 |
Iuliana Dit Bobanga, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3674 E Meridian Loop, Wasilla, AK 99654 Phone: 907-373-8100 | |
Dr. Garth W Lecheminant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3674 E Meridian Loop, Wasilla, AK 99654 Phone: 907-373-8100 | |
Dr. David T Mayschak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5300 Shennum Dr, Wasilla, AK 99654 Phone: 907-354-0503 Fax: 907-376-7874 | |
Joseph Henry Llewellyn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 E Country Field Cir Ste D, Wasilla, AK 99654 Phone: 907-357-6121 Fax: 907-357-6171 | |
David John Morrow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3674 E Meridian Loop, Wasilla, AK 99654 Phone: 907-373-8100 Fax: 907-373-3674 |