| Peggy L O'connor, FNP | |
|
Mile 187 Glenn Highway, Glennallen, AK 99588 | |
| (907) 822-3203 | |
| (907) 822-5805 |
| Full Name | Peggy L O'connor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | Mile 187 Glenn Highway, Glennallen, 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 |
|---|---|---|---|
| 1710235213 | NPI | - | NPPES |
| 1599641 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000735 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NURU1369 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cross Road Health Ministries Inc | 4688587348 | 7 |
| Entity Name | Behavior Management Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295878122 PECOS PAC ID: 3375539356 Enrollment ID: O20040423001018 |
| Entity Name | Dakota Psychiatry Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679598320 PECOS PAC ID: 5193889954 Enrollment ID: O20090123000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy L O'connor, FNP Po Box 5, Glennallen, AK 99588-0589 Ph: (907) 822-3203 | Peggy L O'connor, FNP Mile 187 Glenn Highway, Glennallen, AK 99588 Ph: (907) 822-3203 |
Kippen Marshall Jacobson, NP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-5805 | |
Clare Lattimore, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-5805 |