| Stephanie Rae Mcquillin, APRN | |
|
1751 E Gardner Way Ste E, Wasilla, AK 99654-6564 | |
| (907) 376-9321 | |
| (907) 376-9322 |
| Full Name | Stephanie Rae Mcquillin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1751 E Gardner Way Ste E, Wasilla, 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 |
|---|---|---|---|
| 1023503570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 133098 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Mat-su Regional Medical Center | Palmer, AK | Hospital |
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | Hospital |
| Central Peninsula General Hospital | Soldotna, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney And Hypertension Clinic Of Alaska Inc | 0840299186 | 12 |
| Dialysis Associates Of Alaska, Llc | 1456345123 | 11 |
| Entity Name | Dialysis Associates Of Alaska, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912013160 PECOS PAC ID: 1456345123 Enrollment ID: O20040414000683 |
| Entity Name | Lisa Cooney, M.d., Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912932716 PECOS PAC ID: 7810990850 Enrollment ID: O20060814000171 |
| Entity Name | Kidney And Hypertension Clinic Of Alaska Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932282381 PECOS PAC ID: 0840299186 Enrollment ID: O20061213000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Rae Mcquillin, APRN 1751 E Gardner Way Ste E, Wasilla, AK 99654-6564 Ph: (907) 376-9321 | Stephanie Rae Mcquillin, APRN 1751 E Gardner Way Ste E, Wasilla, AK 99654-6564 Ph: (907) 376-9321 |
Alysa Sonnentag, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Fairview Loop, Wasilla, AK 99654 Phone: 907-373-3335 | |
Ms. Lisa Bouyea-francies, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3373 | |
James Hales, FNP-C. FNP-BC, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Mr. Clinton Deaver, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Randall Twenhafel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-357-4543 Fax: 907-357-4533 | |
Samantha Lyn Hamilton, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460 |