| Ben Prom, | |
|
8505 Old Dairy Rd, Juneau, AK 99801-6921 | |
| (907) 790-4111 | |
| Not Available |
| Full Name | Ben Prom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 8505 Old Dairy Rd, Juneau, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629733415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divine Savior Healthcare | Portage, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Prom, 8505 Old Dairy Rd, Juneau, AK 99801-6921 Ph: (907) 790-4111 | Ben Prom, 8505 Old Dairy Rd, Juneau, AK 99801-6921 Ph: (907) 790-4111 |
Mrs. Christie Bentz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3027 Mountainwood Cir, Juneau, AK 99801 Phone: 802-558-6758 | |
Meghan Lindquist, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3406 Glacier Hwy Ste A, Juneau, AK 99801 Phone: 907-463-3303 | |
Mrs. Kelly Kathleen Erickson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3245 Hospital Dr, Juneau, AK 99801 Phone: 907-463-4040 Fax: 907-463-6663 | |
Mr. Larry B Depute, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10301 Glacier Hwy, Juneau, AK 99801 Phone: 907-789-2910 Fax: 907-789-5545 | |
Kathryn Fuller Earle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3260 Hospital Dr, Juneau, AK 99801 Phone: 907-796-8900 | |
Amanda Jean Arra, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 Salmon Creek Lane, Juneau, AK 99801 Phone: 907-586-1203 Fax: 907-586-5765 | |
Mr. Bedford Lee Chandler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3245 Hospital Dr, Juneau, AK 99801 Phone: 907-463-4040 Fax: 907-463-6663 |