| Tms Center Of Alaska Llc | |
|
1981 E Palmer Wasilla Hwy Ste 202 Wasilla AK 99654-7289 | |
| (907) 357-9920 | |
| Not Available |
| Full Name | Tms Center Of Alaska Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1981 E Palmer Wasilla Hwy Ste 202, Wasilla, Alaska |
| Authorized Official Name and Position | Cheryl Hodges (OWNER) |
| Authorized Official Contact | 9073579920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Center Of Alaska Llc 2124 N Nadina St Palmer AK 99645-9131 Ph: () - | Tms Center Of Alaska Llc 1981 E Palmer Wasilla Hwy Ste 202 Wasilla AK 99654-7289 Ph: (907) 357-9920 |
| NPI Number | 1114454808 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9830556232 |
|---|---|
| Medicare Enrollment ID | O20230530002748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114454808 | NPI | - | NPPES |
| 1051367 | Other | AK | ALASKA BUISNESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MEDS6369 (Alaska) | Primary |
| Provider Name | Lee Ann Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528267689 PECOS PAC ID: 7012074925 Enrollment ID: I20111114000799 |
| Provider Name | Kathleen Jean Goodale Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407878259 PECOS PAC ID: 1052488103 Enrollment ID: I20130918000228 |
| Provider Name | Deborah L Guris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861724981 PECOS PAC ID: 4880828094 Enrollment ID: I20160323001458 |
| Provider Name | Claudia C Miracle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945255 PECOS PAC ID: 6204261167 Enrollment ID: I20200122003322 |
| Provider Name | Lelenneth G Attwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326703174 PECOS PAC ID: 7810376241 Enrollment ID: I20220615001674 |
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