| Tammy Holforty, PA-C | |
|
1911 E Rezanof Dr, Kodiak, AK 99615-6602 | |
| (907) 481-2484 | |
| Not Available |
| Full Name | Tammy Holforty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1911 E Rezanof Dr, Kodiak, Alaska |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578539763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17040 (California) | Secondary |
| 363A00000X | Physician Assistant | 2003 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Kodiak Island Medical Ctr | Kodiak, AK | Hospital |
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kodiak Island Health Care Foundation | 8022922509 | 15 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952430902 PECOS PAC ID: 5799675120 Enrollment ID: O20040318000605 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013905660 PECOS PAC ID: 5799675120 Enrollment ID: O20041221000920 |
| Entity Name | Kodiak Island Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326047044 PECOS PAC ID: 8022922509 Enrollment ID: O20090428000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Holforty, PA-C 1911 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (907) 481-2484 | Tammy Holforty, PA-C 1911 E Rezanof Dr, Kodiak, AK 99615-6602 Ph: (907) 481-2484 |
Brandon James Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Uscg Base Kodiak Rockmore-king Clinic, 200 Albatross Ave Bldg N-46, Kodiak, AK 99615 Phone: 907-487-5757 |
Alison Starr, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 |
Paige Buer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 |
Zachary Marker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Albatross Ave Bldg N46, Kodiak, AK 99615 Phone: 731-332-0728 |
Melissa Witteveen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1911 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-5000 |
Mr. Greg Joseph Mete Sr., PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6065 Fax: 907-486-2248 |
Karen Lee Millstein, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9870 Fax: 907-486-9898 |