| Jesse Phillip Wray, | |
|
Jber Emergency Department, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 | |
| (870) 514-6421 | |
| Not Available |
| Full Name | Jesse Phillip Wray |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | Jber Emergency Department, Elmendorf Afb, 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 |
|---|---|---|---|
| 1679076988 | NPI | - | NPPES |
| 1726717 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 175597 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Peninsula General Hospital | Soldotna, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Peninsula General Hospital Inc | 4587552575 | 102 |
| 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 | Matsu Emergency Medicine Physicians Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548129 PECOS PAC ID: 1557251022 Enrollment ID: O20040318000130 |
| Entity Name | South Peninsula Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Phillip Wray, Jber Emergency Department, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Ph: (907) 580-5556 | Jesse Phillip Wray, Jber Emergency Department, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Ph: (870) 514-6421 |
Dr. Brian G Rogers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, 3rd Md6, Elmendorf Afb, AK 99506 Phone: 907-580-5555 | |
Dr. Raymond Joseph Legenza Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-4006 | |
Matthew James Joo, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-5556 | |
Dr. Herman Roy Ellemberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Mdg- Sgoee, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-5555 | |
John Mckeegan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-2778 | |
Laura Kim Abts, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Attn 3mdg Sgoee, Elmendorf Afb, AK 99506 Phone: 907-580-5555 Fax: 907-580-2230 |