Metlakatla Indian Community - Medicare Mental Health Clinic in Metlakatla, AK

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Metlakatla Indian Community is a medicare enrolled mental health clinic (Clinic/center - Health Service) in Metlakatla, Alaska. The current practice location for Metlakatla Indian Community is 563 Brendible Street, Metlakatla, Alaska. For appointments, you can reach them via phone at (907) 886-6601. The mailing address for Metlakatla Indian Community is 563 Brendible Street, Metlakatla, Alaska and phone number is (907) 886-4741.

Metlakatla Indian Community is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740294081. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (907) 886-6601.

Contact Information

Metlakatla Indian Community
563 Brendible Street
Metlakatla
AK 99926
(907) 886-6601
(907) 886-6976

Map and Direction


Mental Health Clinic Profile

Full NameMetlakatla Indian Community
SpecialityClinic/Center
Location563 Brendible Street, Metlakatla, Alaska
Authorized Official Name and PositionSusan Ashley Guthrie (TRIBAL HEALTH DIRECTOR)
Authorized Official Contact9078865811
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Metlakatla Indian Community
563 Brendible Street
Metlakatla
AK 99926-0439

Ph: (907) 886-4741		Metlakatla Indian Community
563 Brendible Street
Metlakatla
AK 99926

Ph: (907) 886-6601

NPI Details:

NPI Number1740294081
Provider Enumeration Date07/29/2006
Last Update Date03/18/2026
Certification Date03/18/2026

Medicare PECOS Information:

Medicare PECOS PAC ID5890691315
Medicare Enrollment IDO20031208000361

Medical Identifiers

Medical identifiers for Metlakatla Indian Community such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740294081NPI-NPPES
PH4579MedicaidAK
MS4579MedicaidAK
CL0299MedicaidAK
TR4579MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
103TF0000XPsychologist - Family (* (Not Available))Secondary
122300000XDentist (* (Not Available))Secondary
172V00000XCommunity Health Worker (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Primary
332800000XIndian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
3416S0300XAmbulance - Water Transport (* (Not Available))Secondary
364SC1501XClinical Nurse Specialist - Community Health/public Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Metlakatla Indian Community acts as a billing entity for following providers:
Provider NameJorge A Simental
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568492379
PECOS PAC ID: 3779561980
Enrollment ID: I20041215000184
Provider NameRobert Gibson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700904406
PECOS PAC ID: 3678516218
Enrollment ID: I20050606000438
Provider NamePeter M Sapin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1346265659
PECOS PAC ID: 2365549490
Enrollment ID: I20070523000672
Provider NameBrian A Trimble
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972529220
PECOS PAC ID: 6305937673
Enrollment ID: I20070801000579
Provider NameSandra L Graham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629250998
PECOS PAC ID: 5092891895
Enrollment ID: I20080319000290
Provider NameSusan Jane Kring
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235123860
PECOS PAC ID: 2466441688
Enrollment ID: I20100428000733
Provider NameThomas P Ryan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578879631
PECOS PAC ID: 7618134958
Enrollment ID: I20120130000242
Provider NameStephen M Wahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497934897
PECOS PAC ID: 2668531021
Enrollment ID: I20140131000397
Provider NameEugene F Polmueller
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053692400
PECOS PAC ID: 6709051816
Enrollment ID: I20140313000812
Provider NameRebecca Sjostrom
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760654651
PECOS PAC ID: 0840432134
Enrollment ID: I20141114001153
Provider NameNina G Desai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295094407
PECOS PAC ID: 0042528309
Enrollment ID: I20151006002304
Provider NameSteven F Gordon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700847365
PECOS PAC ID: 1153451380
Enrollment ID: I20160324000782
Provider NameAi-ling Lin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982947479
PECOS PAC ID: 1052605482
Enrollment ID: I20160809000148
Provider NameSarah M Doaty
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1215254818
PECOS PAC ID: 2668767211
Enrollment ID: I20160823000164
Provider NameRichard A Hirschler
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1033147558
PECOS PAC ID: 0244276012
Enrollment ID: I20160928002541
Provider NameJessie Willow Janowski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1144545476
PECOS PAC ID: 9931406295
Enrollment ID: I20161014001085
Provider NameCheri J Diller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447250774
PECOS PAC ID: 5597783183
Enrollment ID: I20161215000971
Provider NamePaul S Havrilka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801071543
PECOS PAC ID: 8921236829
Enrollment ID: I20170425000092
Provider NameArlene F Foley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790867448
PECOS PAC ID: 6002805421
Enrollment ID: I20171128000864
Provider NameKathleen Rooney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932351871
PECOS PAC ID: 3173686094
Enrollment ID: I20180418002075
Provider NameJesse Sandoval
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972552271
PECOS PAC ID: 9739168345
Enrollment ID: I20191105001067
Provider NameDean A Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285749101
PECOS PAC ID: 0941295323
Enrollment ID: I20200219001122
Provider NameBrandi Hartman Willard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619083797
PECOS PAC ID: 2264523828
Enrollment ID: I20210923001545
Provider NameMartha Jane Moore
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1053418921
PECOS PAC ID: 0143368126
Enrollment ID: I20220927001704
Provider NameRobert W Gneiting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225105919
PECOS PAC ID: 3678709383
Enrollment ID: I20230210000169
Provider NameMegan Swegar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588213201
PECOS PAC ID: 5294107223
Enrollment ID: I20230220002569
Provider NameSarah E Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669707584
PECOS PAC ID: 7810300613
Enrollment ID: I20230303001635
Provider NameAndrea Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831525245
PECOS PAC ID: 0840420410
Enrollment ID: I20230316000840
Provider NameDaniel Nermo Brendible
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871271536
PECOS PAC ID: 4981065299
Enrollment ID: I20230803000672
Provider NameNicolette Broby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235641382
PECOS PAC ID: 0345500674
Enrollment ID: I20231121003162
Provider NameJessica Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124782537
PECOS PAC ID: 4789119959
Enrollment ID: I20241125002154
Provider NameBryan Cothren
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598144800
PECOS PAC ID: 5799081121
Enrollment ID: I20250522001544

Reviews and Comments

Clinic/Center in Metlakatla, AK

Metlakatla Indian Community
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 Upper Milton Ave, Metlakatla, AK 99926
Phone: 907-886-6911    Fax: 907-886-6913

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.