| Mrs Amanda Rae Wholly, ANP | |
|
Landstuhl Regional Medical Center Unit 33100, Apo, NY 09180-3100 | |
| (153) 590-7662 | |
| Not Available |
| Full Name | Mrs Amanda Rae Wholly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | Landstuhl Regional Medical Center Unit 33100, Apo, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780052159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 103809 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Central Peninsula General Hospital | Soldotna, AK | Hospital |
| Mat-su Regional Medical Center | Palmer, AK | Hospital |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Alaska Regional Hospital | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alaska Womens Cancer Care Llc | 3971758319 | 5 |
| Entity Name | Alaska Womens Cancer Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063765295 PECOS PAC ID: 3971758319 Enrollment ID: O20130308000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Rae Wholly, ANP 4001 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5200 Ph: (800) 769-0045 | Mrs Amanda Rae Wholly, ANP Landstuhl Regional Medical Center Unit 33100, Apo, NY 09180-3100 Ph: (153) 590-7662 |
Paula Jean Wilson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unit 2709 Box 6, Apo, NY 34021 Phone: 505-266-4925 Fax: 505-266-9941 |