| Jefferson Wasson, DO | |
|
10543 Kenai Spur Hwy, Kenai, AK 99611-7812 | |
| (360) 626-3036 | |
| Not Available |
| Full Name | Jefferson Wasson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10543 Kenai Spur Hwy, Kenai, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043771207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 189244 (Alaska) | Primary |
| Entity Name | Central Peninsula General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528062429 PECOS PAC ID: 4587552575 Enrollment ID: O20040310000598 |
| 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 |
|---|---|
| Jefferson Wasson, DO 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 Ph: () - | Jefferson Wasson, DO 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 Ph: (360) 626-3036 |
Dr. James Robert Bauman Iv, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 506 Lake St, Kenai, AK 99611 Phone: 907-714-4111 Fax: 844-412-3852 | |
Dr. Kim Edward Thiele, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36901 Mallard Rd, Kenai, AK 99611 Phone: 907-283-5000 Fax: 907-283-5013 | |
Dr. Samuel Herman Schurig, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Highway, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-335-2460 | |
Mr. Ray Lynn Carlson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-283-5341 | |
Dr. Ann Kathryn-meyer Hupe, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-9118 Fax: 907-283-5341 | |
Dr. Terri Lee Elliott, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 135 Bidarka St, Suite 101, Kenai, AK 99611 Phone: 907-335-0034 Fax: 907-335-0064 |