| John Douglas Stacey, DO | |
|
5955 Zeamer Avenue, Joint Base Elmendorf Richardson, Anchorage, AK 99506 | |
| (907) 580-1571 | |
| (907) 580-1571 |
| Full Name | John Douglas Stacey |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 5955 Zeamer Avenue, Anchorage, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285070474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | O-0808 (Idaho) | Secondary |
| 208D00000X | General Practice | O-0808 (Idaho) | Secondary |
| 207X00000X | Orthopaedic Surgery | OT017816 (Pennsylvania) | Primary |
| Entity Name | Pioneer Peak Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548639727 PECOS PAC ID: 8921318080 Enrollment ID: O20151103000217 |
| Mailing Address | Practice Location Address |
|---|---|
| John Douglas Stacey, DO 5955 Zeamer Avenue, Joint Base Elmendorf Richardson, Anchorage, AK 99506 Ph: (907) 580-1571 | John Douglas Stacey, DO 5955 Zeamer Avenue, Joint Base Elmendorf Richardson, Anchorage, AK 99506 Ph: (907) 580-1571 |
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 |