| Brian Desmond, PA | |
|
4320 Diplomacy Dr, Anchorage, AK 99508-5925 | |
| (907) 729-3300 | |
| Not Available |
| Full Name | Brian Desmond |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4320 Diplomacy Dr, Anchorage, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629708979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 200537 (Alaska) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Entity Name | Southcentral Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Desmond, PA 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: (907) 729-8901 | Brian Desmond, PA 4320 Diplomacy Dr, Anchorage, AK 99508-5925 Ph: (907) 729-3300 |
Amanda Loomis, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 550 W 7th Ave Ste 1800, Anchorage, AK 99501 Phone: 907-269-7300 |
Bryan Farthing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3841 Piper St, Suite T4-054, Anchorage, AK 99508 Phone: 907-562-6228 |
Kimberley Turner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 E 4th Ave, Anchorage, AK 99501 Phone: 907-269-4234 Fax: 907-269-4235 |
Cynthia Nichols, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Otis Pkwy Ste 220, Anchorage, AK 99508 Phone: 907-563-3145 |
Corinne Faye Olivera, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5005 Raspberry Rd, Building 9, Anchorage, AK 99502 Phone: 907-249-1276 Fax: 907-249-1145 |
Mark Andrew Malzahn, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Otis Pkwy, #302, Anchorage, AK 99508 Phone: 907-563-7072 Fax: 907-562-5742 |
Mrs. Cynthia Jean Smith, PC-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Lake Otis Pkwy, Anchorage, AK 99508 Phone: 907-562-2277 |