| Mr Nathan Fitzgerald, PA-C | |
|
22301 W Alsop Rd, Wasilla, AK 99623-5023 | |
| (907) 864-8284 | |
| Not Available |
| Full Name | Mr Nathan Fitzgerald |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 22301 W Alsop 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 |
|---|---|---|---|
| 1043738461 | NPI | - | NPPES |
| 1677181 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 123843 (Alaska) | Primary |
| Entity Name | Alaska Urology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073549507 PECOS PAC ID: 2567351513 Enrollment ID: O20040315001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathan Fitzgerald, PA-C 22301 W Alsop Rd, Wasilla, AK 99623-5023 Ph: (907) 864-8284 | Mr Nathan Fitzgerald, PA-C 22301 W Alsop Rd, Wasilla, AK 99623-5023 Ph: (907) 864-8284 |
Margaret Elizabeth Awadalla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3750 E Country Field Cir Ste E, Wasilla, AK 99654 Phone: 907-308-6488 Fax: 907-308-6494 |
Jasen Russell Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 S Knik Goose Bay Rd, Pcc West, Wasilla, AK 99654 Phone: 907-631-7851 Fax: 907-631-7612 |
Mr. Glen A Jones, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 E Parks Hwy, Suite 200, Wasilla, AK 99654 Phone: 907-373-6055 Fax: 907-373-6077 |
Karen Rebecca Clement, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop Ste 206, Wasilla, AK 99654 Phone: 907-373-2544 Fax: 844-689-4240 |
Savanna L Simmerman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3122 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-357-9590 |
Jennifer Louise Mclaughlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3122 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-357-9590 Fax: 907-357-9593 |
Mckenzie Peckham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3765 E Blue Lupine Dr, Wasilla, AK 99654 Phone: 907-707-1671 |