| Dr Jessica Marie Eiser, MD | |
|
4076 Neely Road, Fort Wainwright, AK 99703-0441 | |
| (907) 361-4001 | |
| Not Available |
| Full Name | Dr Jessica Marie Eiser |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4076 Neely Road, Fort Wainwright, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922545052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101266186 (Virginia) | Secondary |
| 208000000X | Pediatrics | 0101266186 (Virginia) | Primary |
| Entity Name | Tanana Chiefs Conference |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Marie Eiser, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-3160 | Dr Jessica Marie Eiser, MD 4076 Neely Road, Fort Wainwright, AK 99703-0441 Ph: (907) 361-4001 |
Mrs. Hannah Nicole Fugate, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4076 Neely Road, Fort Wainwright, AK 99703 Phone: 907-361-5172 | |
Suhani Patel, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4076 Neely Road; Bldg 4076, Room 1b-201, Fort Wainwright, AK 99703 Phone: 907-361-4000 | |
Dr. Ross Martin Mathieu, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 Phone: 907-361-5960 |