Mr Clinton Deaver, FNP-BC | |
7010 E Bogard Rd, Wasilla, AK 99654-4711 | |
(907) 373-4732 | |
Not Available |
Full Name | Mr Clinton Deaver |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 7010 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 |
---|---|---|---|
1033937115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 229469 (Alaska) | Primary |
Entity Name | Atlas Medical Alaska Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376213207 PECOS PAC ID: 0345630463 Enrollment ID: O20211205000014 |
Entity Name | Atlas Medical Aco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629807086 PECOS PAC ID: 1456885227 Enrollment ID: O20241218000012 |
Mailing Address | Practice Location Address |
---|---|
Mr Clinton Deaver, FNP-BC Po Box 876741, Wasilla, AK 99687-6741 Ph: (907) 373-4732 | Mr Clinton Deaver, FNP-BC 7010 E Bogard Rd, Wasilla, AK 99654-4711 Ph: (907) 373-4732 |
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 | |
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 |