| Kendrick David Blais, DO | |
|
1867 Airport Way Ste 140a, Fairbanks, AK 99701-4055 | |
| (907) 457-9355 | |
| (907) 457-9356 |
| Full Name | Kendrick David Blais |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 1867 Airport Way Ste 140a, Fairbanks, 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 |
|---|---|---|---|
| 1497771109 | NPI | - | NPPES |
| DO43111 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AA2242 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital Hospice Services | Fairbanks, AK | Hospice |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Denali Center | Fairbanks, AK | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Polar Wind Medical Center Inc | 8820082746 | 3 |
| Entity Name | Polar Wind Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933209 PECOS PAC ID: 8820082746 Enrollment ID: O20040413001417 |
| Entity Name | Tanana Valley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendrick David Blais, DO 1867 Airport Way Ste 140a, Fairbanks, AK 99701-4055 Ph: (907) 457-9355 | Kendrick David Blais, DO 1867 Airport Way Ste 140a, Fairbanks, AK 99701-4055 Ph: (907) 457-9355 |
Dr. Mark Andrew Clifford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 1st Ave, Suite 600, Fairbanks, AK 99701 Phone: 907-750-4124 Fax: 808-433-1558 | |
Abigail J Klager, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-451-6682 | |
Angela Lucien, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-452-8251 | |
Dr. Melinda F Evans, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 Fax: 907-458-1581 | |
Dr. Natalie Seibert Mayer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St Ste 222, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192 | |
Dr. Peter John Dillon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 Fax: 907-458-2628 | |
Dr. Russell Scott Pierce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Old Richardson Hwy Ste 200, Fairbanks, AK 99701 Phone: 907-457-9420 Fax: 907-457-1098 |