| Spencer Audie, | |
|
3300 Providence Dr, Anchorage, AK 99508-4690 | |
| (907) 279-0555 | |
| Not Available |
| Full Name | Spencer Audie |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3300 Providence Dr, Anchorage, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306209440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 189763 (Alaska) | Primary |
| Entity Name | Providence Anchorage Anesthesia Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952 |
| Entity Name | Anesthesia Care Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160452 PECOS PAC ID: 0446244388 Enrollment ID: O20040413000787 |
| Entity Name | Bartlett Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750143673 PECOS PAC ID: 7911343967 Enrollment ID: O20240312003563 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Audie, 3300 Providence Dr Ste 207, Anchorage, AK 99508-4620 Ph: () - | Spencer Audie, 3300 Providence Dr, Anchorage, AK 99508-4690 Ph: (907) 279-0555 |
Colby Parks, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Providence Anchorage Anesthesia Medical Group, P.c., Suite 207, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 | |
Thomas Weissmueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Providence Dr Ste 205, Anchorage, AK 99508 Phone: 907-561-1510 | |
Evan Braithwaite, Anesthesiology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Robert C Gudor, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2801 Debarr Rd, Anchorage, AK 99508 Phone: 907-258-2149 Fax: 907-258-2147 | |
Richard F Farah, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3300 Providence Dr, Suite 207, Providence Anchorage Anesthesia Medical Grou, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 | |
Stephen Roberts, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Katharine Lamperti, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 Providence Dr., Suite 207, Providence Anchorage Anesthesia Medical Group, P.c., Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140 |