| Julian David Smith, PA | |
|
2800 Providence Dr, Anchorage, AK 99508-4623 | |
| (907) 269-7150 | |
| Not Available |
| Full Name | Julian David Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2800 Providence 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 |
|---|---|---|---|
| 1639339286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 809 (Alaska) | Primary |
| Entity Name | State of Alaska Department of Administration |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497842553 PECOS PAC ID: 5395638571 Enrollment ID: O20040203000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Julian David Smith, PA 2440 E Tudor Rd # 1117, Anchorage, AK 99507-1185 Ph: Not Available | Julian David Smith, PA 2800 Providence Dr, Anchorage, AK 99508-4623 Ph: (907) 269-7150 |
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 |
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 |
Even R Evanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3841 Piper St, Suite T-100, Anchorage, AK 99508 Phone: 907-561-3211 Fax: 907-562-7547 |