| Mr William Chester Ford Jr, NP-C | |
|
1124006200, 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | |
| (907) 543-6430 | |
| Not Available |
| Full Name | Mr William Chester Ford Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1124006200, Bethel, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124006200 | NPI | - | NPPES |
| 346968043A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN144697 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 121442 (Alaska) | Primary |
| Entity Name | Athens Heart Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447338744 PECOS PAC ID: 0244134583 Enrollment ID: O20031120000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Chester Ford Jr, NP-C 5555 E Pamela Dr, Wasilla, AK 99654-0552 Ph: (706) 498-2361 | Mr William Chester Ford Jr, NP-C 1124006200, 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Ph: (907) 543-6430 |
Dr. Dianna Elkenbaum Kristeller, CNM, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6000 | |
Ms. Kena M Troupe, DNP, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 528, Bethel, AK 99559 Phone: 907-543-6000 | |
Ashley Fairbanks Glasheen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6000 | |
Rita Marie Kalistook, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Chief Eddie Hoffman Highway, Suite 3000, Yukon-kuskokwim Health Corporation, Bethel, AK 99559 Phone: 907-543-6151 | |
Willem C Schutte, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-6603 | |
Matthew G Horgan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Chief Eddie Hoffman Hwy,, Bethel, AK 99559 Phone: 303-941-0409 |