| Tate Vernon, DO | |
|
673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | |
| (907) 580-5556 | |
| Not Available |
| Full Name | Tate Vernon |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 673 Mdg, Jber, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972198836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | U0678 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | U0678 (Texas) | Primary |
| Entity Name | Matsu Emergency Medicine Physicians Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073548129 PECOS PAC ID: 1557251022 Enrollment ID: O20040318000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Tate Vernon, DO 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-5556 | Tate Vernon, DO 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-5556 |
Dr. Joshua Ballard Pead, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-5556 | |
Holly Zehfus, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-551-2992 | |
Taylor James Travers, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-5556 | |
Dr. Mark Edward Shepherd Jr., M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506 Phone: 907-580-5556 | |
Eli Lessard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-5556 | |
Dr. Erin Mai, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673d Medical Group; Dept Of Emergency Medicine, Jber, AK 99506 Phone: 907-580-6280 | |
Nicholas C Papacostas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-5556 Fax: 907-580-5556 |