| 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 |
| Experience | 2 Years |
| Location | 7010 E Bogard Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033937115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 229469 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ancora Home Health & Hospice | Wasilla, AK | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlas Medical Alaska Llc | 0345630463 | 6 |
| Entity Name | Set Free Alaska Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073841789 PECOS PAC ID: 2668899204 Enrollment ID: O20200827003677 |
| 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 |
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 |
Dr. Heidi Ann Koslo, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 |
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 |
Amber Renae Shea, RN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5805 E Columbus Way, Wasilla, AK 99654 Phone: 907-376-7300 Fax: 888-977-2041 |