| Dr Robert Matthew Monberg, MD | |
|
3788 University Ave S Ste 304, Fairbanks, AK 99709-4680 | |
| (907) 456-4825 | |
| (907) 456-4899 |
| Full Name | Dr Robert Matthew Monberg |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3788 University Ave S Ste 304, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679548747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MEDS3855 (Alaska) | Primary |
| 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 Robert Matthew Monberg, MD 3788 University Ave S Ste 304, Fairbanks, AK 99709-4680 Ph: (907) 456-4825 | Dr Robert Matthew Monberg, MD 3788 University Ave S Ste 304, Fairbanks, AK 99709-4680 Ph: (907) 456-4825 |
Dr. Nicholas Paul Cosentino, D.O General Practice Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5358 | |
Larry Allen Harikian, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way, Ste 130b, Fairbanks, AK 99701 Phone: 907-452-2178 Fax: 907-452-3524 | |
Tamara Leigh Weaver, N.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 222 Front St, Fairbanks, AK 99701 Phone: 907-451-7100 |