| Ian Kay Brimhall, DO | |
|
4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 | |
| (907) 563-3145 | |
| (833) 464-5196 |
| Full Name | Ian Kay Brimhall |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 4100 Lake Otis Pkwy Ste 108, 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 |
|---|---|---|---|
| 1467652875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101015602 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 4782 (Arizona) | Secondary |
| 207X00000X | Orthopaedic Surgery | 191513 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| White Mountain Regional Medical Center | Springerville, AZ | Hospital |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ian Brimhall Pc | 7517030281 | 2 |
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Entity Name | Ian Brimhall Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760644462 PECOS PAC ID: 7517030281 Enrollment ID: O20101007001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Kay Brimhall, DO 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 Ph: (907) 563-3145 | Ian Kay Brimhall, DO 4100 Lake Otis Pkwy Ste 108, Anchorage, AK 99508-5230 Ph: (907) 563-3145 |
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 |