| Mrs Aylar Ansaritalesh, PA-C | |
|
16600 Centerfield Dr, Eagle River, AK 99577-7702 | |
| (907) 202-9238 | |
| Not Available |
| Full Name | Mrs Aylar Ansaritalesh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 16600 Centerfield Dr, Eagle River, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992346993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA7450858 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | 246215 (Alaska) | Primary |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Aylar Ansaritalesh, PA-C 16600 Centerfield Dr Ste 205, Eagle River, AK 99577-7702 Ph: (907) 202-9238 | Mrs Aylar Ansaritalesh, PA-C 16600 Centerfield Dr, Eagle River, AK 99577-7702 Ph: (907) 202-9238 |
Fredrick George May, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11432 Business Blvd, Eagle River, AK 99577 Phone: 907-694-1300 Fax: 907-694-1315 |
Cheryl K Fitzgerald, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16839 Park Place St, Eagle River, AK 99577 Phone: 907-694-3303 Fax: 907-694-4773 |
Robert Donald Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17025 Snowmobile Ln Ste A, Eagle River, AK 99577 Phone: 907-694-9553 Fax: 833-464-5211 |
Catherine Link, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16600 Centerfield Dr Ste 205, Eagle River, AK 99577 Phone: 907-202-9238 Fax: 907-726-0332 |
Mrs. Sarah Lynn Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12641 Old Glenn Hwy Ste 201, Eagle River, AK 99577 Phone: 907-726-0368 Fax: 907-726-0371 |
Mr. John Andrew Winczura, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1444 S Creek Rd, Eagle River, AK 99577 Phone: 907-622-4663 Fax: 907-622-4643 |
Tracie Jean Rieker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17025 Snowmobile Ln Ste 102, Eagle River, AK 99577 Phone: 907-694-9553 Fax: 907-694-9585 |