| Mr Jonathon Edward Blum, NP | |
|
505 W Northern Lights Blvd, Anchorage, AK 99503-2552 | |
| (907) 433-9358 | |
| (907) 206-7179 |
| Full Name | Mr Jonathon Edward Blum |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 505 W Northern Lights Blvd, 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 |
|---|---|---|---|
| 1558928580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402628 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 166885 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anchorage Community Mental Health Services Inc | 1052213089 | 26 |
| Girdwood Health Clinic, Inc. | 4688836216 | 8 |
| Entity Name | Anchorage Community Mental Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326268301 PECOS PAC ID: 1052213089 Enrollment ID: O20040121000942 |
| Entity Name | Girdwood Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851662233 PECOS PAC ID: 4688836216 Enrollment ID: O20120427000146 |
| Entity Name | Fairbanks Community Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023445871 PECOS PAC ID: 6406085562 Enrollment ID: O20140212001626 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathon Edward Blum, NP 23914 The Clearing Dr, Eagle River, AK 99577-9659 Ph: (907) 422-9358 | Mr Jonathon Edward Blum, NP 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 Ph: (907) 433-9358 |
Ms. Mary Kay Mccarty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3925 Tudor Centre Dr, #100, Anchorage, AK 99508 Phone: 907-561-8301 Fax: 907-561-8170 | |
Mindy Lorin Schloss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6852 Cutty Sark St, Anchorage, AK 99502 Phone: 907-243-5936 | |
Katherine L Sterner, A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508 Phone: 907-729-4955 | |
Sandra Frenier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3340 Providence Dr, Suite 452, Anchorage, AK 99508 Phone: 907-562-2120 | |
Janet A Bloch, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3851 Piper St, U340, Anchorage, AK 99508 Phone: 907-562-0321 Fax: 907-562-2683 | |
Lois A Rockcastle, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 University Lake Dr Ste 205, Anchorage, AK 99508 Phone: 907-563-1600 Fax: 907-563-0100 | |
Mrs. Megan Renee Hathcoat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Airport Heights Dr Ste 200, Anchorage, AK 99508 Phone: 907-262-4278 |