| Anchorage Bariatrics, Llc | |
|
3909 Arctic Blvd Suite 101 Anchorage AK 99503-5770 | |
| (907) 644-8446 | |
| (907) 644-8448 |
| Full Name | Anchorage Bariatrics, Llc |
|---|---|
| Speciality | Surgery |
| Location | 3909 Arctic Blvd, Anchorage, Alaska |
| Authorized Official Name and Position | Justin Clark (PHYSICIAN) |
| Authorized Official Contact | 9076448446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Bariatrics, Llc Po Box 75039 Chicago IL 60675-5039 Ph: (866) 776-8150 | Anchorage Bariatrics, Llc 3909 Arctic Blvd Suite 101 Anchorage AK 99503-5770 Ph: (907) 644-8446 |
| NPI Number | 1174076822 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 0042505018 |
|---|---|
| Medicare Enrollment ID | O20160830001318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174076822 | NPI | - | NPPES |
| Provider Name | Haskell B Acker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972722544 PECOS PAC ID: 6901944842 Enrollment ID: I20091112000458 |
| Provider Name | Erica Coady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366759003 PECOS PAC ID: 3678769387 Enrollment ID: I20120118000648 |
| Provider Name | Sandra M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235570979 PECOS PAC ID: 8123256161 Enrollment ID: I20140120000732 |
| Provider Name | Justin J Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215132410 PECOS PAC ID: 5991973596 Enrollment ID: I20140812001310 |
| Provider Name | Johnna L Kohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659345171 PECOS PAC ID: 6204913601 Enrollment ID: I20150527001374 |
| Provider Name | Erika J Van Calcar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134368111 PECOS PAC ID: 2567659287 Enrollment ID: I20161116000427 |
| Provider Name | Sean M Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295901312 PECOS PAC ID: 7315103447 Enrollment ID: I20170914002283 |
| Provider Name | Janet H Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841701539 PECOS PAC ID: 9234496233 Enrollment ID: I20171129002731 |
| Provider Name | Krista Marie Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710200985 PECOS PAC ID: 9537424767 Enrollment ID: I20180522000392 |
| Provider Name | Soleil M Thiele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518579473 PECOS PAC ID: 4688092265 Enrollment ID: I20200914002161 |
| Provider Name | Maryna Chumakova-orin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225422363 PECOS PAC ID: 2365861671 Enrollment ID: I20210707004111 |
| Provider Name | Seth Bricklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992859003 PECOS PAC ID: 2466491535 Enrollment ID: I20210712001851 |
| Provider Name | Staci Rae Kloster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174252779 PECOS PAC ID: 4981087871 Enrollment ID: I20221013003136 |
| Provider Name | Rachael Hacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955482 PECOS PAC ID: 7012274145 Enrollment ID: I20230914003258 |
| Provider Name | Kevin Sigley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427541192 PECOS PAC ID: 0345786596 Enrollment ID: I20240723004929 |
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