| John G Rosenfeld, MD | |
|
3100 Tongass Ave, Ketchikan, AK 99901-5746 | |
| (907) 225-4463 | |
| (907) 228-8321 |
| Full Name | John G Rosenfeld |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3100 Tongass Ave, Ketchikan, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891726659 | NPI | - | NPPES |
| MD3223 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3223 (Alaska) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Entity Name | Southcentral Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| John G Rosenfeld, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8300 | John G Rosenfeld, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 225-4463 |
David Ellsworth Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-4463 | |
Dr. Elisa Marie Rosier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Po Box Wwp, Ketchikan, AK 99950 Phone: 313-300-8189 | |
Sean Bhagat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Peacehealth Medical Group, 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440 |