| Leslie Tolliver Ii, PA-C | |
|
4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 | |
| (907) 929-7337 | |
| Not Available |
| Full Name | Leslie Tolliver Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 4100 Lake Otis Pkwy, Anchorage, 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 |
|---|---|---|---|
| 1679920565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arete Family Care Llc | 0446653117 | 11 |
| Entity Name | Medical Park Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144392317 PECOS PAC ID: 9638161268 Enrollment ID: O20040401001357 |
| Entity Name | Urgent Care at Lake Lucille Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275587768 PECOS PAC ID: 3274526546 Enrollment ID: O20040405000688 |
| Entity Name | Anchor Eruption Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700343514 PECOS PAC ID: 2961736954 Enrollment ID: O20190625002623 |
| Entity Name | Arete Family Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801460415 PECOS PAC ID: 0446653117 Enrollment ID: O20210720000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Tolliver Ii, PA-C 2101 E 74th Ave # 12c, Anchorage, AK 99507-2776 Ph: (907) 351-8401 | Leslie Tolliver Ii, PA-C 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5229 Ph: (907) 929-7337 |
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 |