| John W Maruhn, PA | |
|
5955 Zeamer Ave, Jber, AK 99506-3702 | |
| (907) 580-1545 | |
| Not Available |
| Full Name | John W Maruhn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5955 Zeamer Ave, Jber, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639285836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17943 (California) | Primary |
| Entity Name | Matrix Occupational Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144279670 PECOS PAC ID: 2365350220 Enrollment ID: O20040721000922 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Maruhn, PA 5955 Zeamer Ave, Jber, AK 99506-3702 Ph: (907) 580-1545 | John W Maruhn, PA 5955 Zeamer Ave, Jber, AK 99506-3702 Ph: (907) 580-1545 |
Nathan Greene, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5800 Westover Ave, #258, Jber, AK 99506 Phone: 907-444-8683 |
Michael Niemi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Sgoee- Emergency Room, Jber, AK 99506 Phone: 907-580-5556 Fax: 907-580-2230 |
Mr. Bradley Robert Dispense, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-2376 |
Mr. Christopher Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-5556 |
Erin Beaver, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1171 |
David Baden, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 786 D St, Jber, AK 99505 Phone: 952-221-1653 |
Kristen Ashley Block, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-8303 |