| Mark Raine, MD | |
|
3100 S Tongass Hwy, Ketchikan, AK 99901-9600 | |
| (907) 228-7601 | |
| Not Available |
| Full Name | Mark Raine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3100 S Tongass Hwy, 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 |
|---|---|---|---|
| 1275502684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3402 (Alaska) | Primary |
| Entity Name | South Big Horn County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013919794 PECOS PAC ID: 1254314107 Enrollment ID: O20080909000055 |
| Entity Name | South Big Horn County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811901515 PECOS PAC ID: 1254314107 Enrollment ID: O20171128000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Raine, MD Po Box 6484, Ketchikan, AK 99901-1484 Ph: () - | Mark Raine, MD 3100 S Tongass Hwy, Ketchikan, AK 99901-9600 Ph: (907) 228-7601 |
Scott Myers Kirchner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 | |
Bradley Gao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 | |
Dr. Danica Natasha Barron-dhillon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 Fax: 907-370-2533 | |
Dr. Katherine Quill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 | |
Dr. Ernest Meloche, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan General Hospital Er, Ketchikan, AK 99901 Phone: 907-617-5111 | |
Kyle Sicher, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-5171 Fax: 907-370-2533 |