| Elisha T Powell Iv, MD | |
|
3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | |
| (907) 562-2277 | |
| (907) 563-3460 |
| Full Name | Elisha T Powell Iv |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 3801 Lake Otis Pkwy Ste 300, Anchorage, 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 |
|---|---|---|---|
| 1255345641 | NPI | - | NPPES |
| 1008588 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 6417 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alaska Regional Hospital | Anchorage, AK | Hospital |
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthoalaska Llc | 2961705520 | 146 |
| Entity Name | Orthoalaska Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336504521 PECOS PAC ID: 2961705520 Enrollment ID: O20160114002729 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisha T Powell Iv, MD 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 Ph: (907) 562-2277 | Elisha T Powell Iv, MD 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 Ph: (907) 562-2277 |
Dr. Ryan Timothy Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4739 Egret Rock Cir, Anchorage, AK 99507 Phone: 831-917-8761 | |
Loren J Jensen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Otis Pkwy, Suite 314, Anchorage, AK 99508 Phone: 907-274-2425 Fax: 907-274-2428 | |
Dr. Adrian B Ryan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3831 Piper St, Suite S-220, Anchorage, AK 99508 Phone: 907-563-3145 Fax: 907-561-3967 | |
Dann J Laudermilch, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Dr. Ross Nathan Brudenell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3801 Lake Otis Pkwy, Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Rabun Samuel Fox, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 Phone: 907-562-2277 Fax: 907-563-3460 | |
Dr. Andrew Garret Shacklett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, Anchorage, AK 99506 Phone: 907-580-1571 |