| Alpine Medical Group Llc | |
|
1405 Kellum St Ste 101 Fairbanks AK 99701-4189 | |
| (907) 455-4555 | |
| (833) 941-2349 |
| Full Name | Alpine Medical Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1405 Kellum St Ste 101, Fairbanks, Alaska |
| Authorized Official Name and Position | Haley Evens (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9077999069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Medical Group Llc 1405 Kellum St Ste 101 Fairbanks AK 99701-4189 Ph: (907) 455-4555 | Alpine Medical Group Llc 1405 Kellum St Ste 101 Fairbanks AK 99701-4189 Ph: (907) 455-4555 |
| NPI Number | 1114681608 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 08/31/2022 |
| Medicare PECOS PAC ID | 7113302373 |
|---|---|
| Medicare Enrollment ID | O20220923002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114681608 | NPI | - | NPPES |
| Provider Name | Meeka Lockert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821660408 PECOS PAC ID: 2668878232 Enrollment ID: I20210907002110 |
| Provider Name | Sarah Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453140 PECOS PAC ID: 2466850466 Enrollment ID: I20211005003051 |
| Provider Name | Haley Evens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700404779 PECOS PAC ID: 5890183065 Enrollment ID: I20211021001240 |
| Provider Name | Daniel C Bothwell |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053762583 PECOS PAC ID: 6103287651 Enrollment ID: I20230731002114 |
| Provider Name | Ellen Mcewen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053099234 PECOS PAC ID: 0345603650 Enrollment ID: I20230901002071 |
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University Of Alaska Fairbanks Center For Health & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N. Chandalar Dr., Fairbanks, AK 99775 Phone: 907-474-7043 Fax: 907-474-5777 | |
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Linda L Garcia Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St Ste 201, Fairbanks, AK 99701 Phone: 907-378-8119 Fax: 907-488-5539 | |
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Tanana Valley Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Fairbanks, AK 99701 Phone: 907-459-3500 |