| Erica Rae Mucha, | |
|
4551 E Bogard Rd, Wasilla, AK 99654-6075 | |
| (907) 373-6500 | |
| Not Available |
| Full Name | Erica Rae Mucha |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4551 E Bogard Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NURR28525 (Alaska) | Primary |
| Entity Name | Kidney And Hypertension Clinic Of Alaska Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932282381 PECOS PAC ID: 0840299186 Enrollment ID: O20061213000556 |
| Entity Name | Rocky Mountain Kidney Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861082117 PECOS PAC ID: 5597170969 Enrollment ID: O20240524001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Rae Mucha, 4551 E Bogard Rd, Wasilla, AK 99654-6075 Ph: (907) 373-6500 | Erica Rae Mucha, 4551 E Bogard Rd, Wasilla, AK 99654-6075 Ph: (907) 373-6500 |
Alysa Sonnentag, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Fairview Loop, Wasilla, AK 99654 Phone: 907-373-3335 | |
Ms. Lisa Bouyea-francies, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3373 | |
Stephanie Rae Mcquillin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1751 E Gardner Way Ste E, Wasilla, AK 99654 Phone: 907-376-9321 Fax: 907-376-9322 | |
James Hales, FNP-C. FNP-BC, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Mr. Clinton Deaver, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Randall Twenhafel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-357-4543 Fax: 907-357-4533 | |
Samantha Lyn Hamilton, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460 |