| Maxwell Pierce White, PT, DPT | |
|
1001 E Bogard Rd, Wasilla, AK 99654-7114 | |
| (907) 373-7246 | |
| (907) 376-9225 |
| Full Name | Maxwell Pierce White |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1001 E Bogard Rd, Wasilla, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083365662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6705 (Maine) | Secondary |
| 225100000X | Physical Therapist | LPT-32131 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 218487 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kitsap Physical Therapy And Sports Clinic Ps Inc | 6507762333 | 102 |
| Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Pierce White, PT, DPT 680 W Buckinghorse Trl, Wickenburg, AZ 85390-3241 Ph: (928) 231-2684 | Maxwell Pierce White, PT, DPT 1001 E Bogard Rd, Wasilla, AK 99654-7114 Ph: (907) 373-7246 |
Amy Lynn Sauck, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 E Bogard Rd, Suite B203, Wasilla, AK 99654 Phone: 907-376-4325 | |
Russell Burlingame, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 | |
Keith Poorbaugh, PT, SCD, OCS, FAAOMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 984 N Meridian Pl, # A, Wasilla, AK 99654 Phone: 907-631-4029 Fax: 907-631-4128 | |
Andrea Stauner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 Fax: 907-357-2529 | |
Wasilla Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654 Phone: 907-376-7334 Fax: 907-373-1429 | |
Marcia Everson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 N Shoreline Dr, Wasilla, AK 99654 Phone: 907-376-6363 Fax: 907-376-6366 | |
Derick Mitchell Hass, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654 Phone: 907-376-7334 |