| Mrs Olivia Jean Wall Petrie, PA-C | |
|
1130 Lindblad Ave, Girdwood, AK 99587 | |
| (907) 783-1355 | |
| (907) 783-1357 |
| Full Name | Mrs Olivia Jean Wall Petrie |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1130 Lindblad Ave, Girdwood, Alaska |
| 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 |
|---|---|---|---|
| 1124416334 | NPI | - | NPPES |
| 1626495 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PADA1224 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Girdwood Health Clinic, Inc. | 4688836216 | 8 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Olivia Jean Wall Petrie, PA-C Po Box 1130, Girdwood, AK 99587-1130 Ph: (907) 783-1355 | Mrs Olivia Jean Wall Petrie, PA-C 1130 Lindblad Ave, Girdwood, AK 99587 Ph: (907) 783-1355 |
Gibson Teague Gamel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 Danish Circle, Girdwood, AK 99587 Phone: 907-540-0443 | |
Mr. Kenneth G Waugh, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 131 Linblad Ave., Girdwood, AK 99587 Phone: 907-783-2311 | |
Riley Bennett-vockner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 Lindblad Ave., Girdwood, AK 99587 Phone: 907-783-1355 |