| Clinton S Anderson, PA-C | |
|
269 Morgan's Road, Aniak, AK 99557-0269 | |
| (907) 675-4556 | |
| (907) 675-4687 |
| Full Name | Clinton S Anderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 269 Morgan's Road, Aniak, 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 |
|---|---|---|---|
| 1003922790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 375970-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 1027 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital-jordan Valley | West jordan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1230 |
| Entity Name | Exodus Healthcare Network PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408 |
| Entity Name | Physician Group of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton S Anderson, PA-C 269 Morgan's Road, Aniak, AK 99557-0269 Ph: (907) 675-4556 | Clinton S Anderson, PA-C 269 Morgan's Road, Aniak, AK 99557-0269 Ph: (907) 675-4556 |
Erin Elizabeth Wolff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 269, Aniak, AK 99557 Phone: 907-675-4556 |