| Julia Sicilia, MD | |
|
436 5th &ted Stevens Way, Kotzebue, AK 99752-4372 | |
| (907) 442-7202 | |
| (907) 442-7312 |
| Full Name | Julia Sicilia |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 436 5th &ted Stevens Way, Kotzebue, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205935210 | NPI | - | NPPES |
| HS191P | Medicaid | AK | |
| P00291754 | Other | AK | RAILROAD MEDICARE PIN # |
| HS190P | Medicaid | AK | |
| MD66291 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5532 (Alaska) | Primary |
| Entity Name | Maniilaq Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Sicilia, MD 436 Ted Stevens Way, Kotzebue, AK 99752-6276 Ph: (907) 442-7202 | Julia Sicilia, MD 436 5th &ted Stevens Way, Kotzebue, AK 99752-4372 Ph: (907) 442-7202 |
Dr. James Michael Farrington, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7148 | |
Ayesha Venkateswaran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Linda Olson Bergum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Amelia Stutman, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Dr. Srikanth Rao Dakoji, M.D.,PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 479 Mission St, Apt C8, Kotzebue, AK 99752 Phone: 415-283-6925 | |
Erick Torres Semprit, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 |