Eastern Aleutian Tribes, Inc - Medicare Primary Care in King Cove, AK

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Eastern Aleutian Tribes, Inc is a medicare enrolled primary clinic (Clinic/center - Community Health) in King Cove, Alaska. The current practice location for Eastern Aleutian Tribes, Inc is 100 Slocum Drive, King Cove, Alaska. For appointments, you can reach them via phone at (907) 497-2311. The mailing address for Eastern Aleutian Tribes, Inc is 3380 C St, Suite 100, Anchorage, Alaska and phone number is (907) 277-1440.

Eastern Aleutian Tribes, Inc is licensed to practice in Alaska (license number ). The clinic also participates in the medicare program and its NPI number is 1649332446. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (907) 497-2311.

Contact Information

Eastern Aleutian Tribes, Inc
100 Slocum Drive
King Cove
AK 99612
(907) 497-2311
(907) 497-2310

Map and Direction


Primary Care Clinic Profile

Full NameEastern Aleutian Tribes, Inc
SpecialityClinic/Center
Location100 Slocum Drive, King Cove, Alaska
Authorized Official Name and PositionJennifer Harrison (EXECUTIVE DIRECTOR)
Authorized Official Contact9072771440
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastern Aleutian Tribes, Inc
3380 C St
Suite 100
Anchorage
AK 99503-3920

Ph: (907) 277-1440		Eastern Aleutian Tribes, Inc
100 Slocum Drive
King Cove
AK 99612

Ph: (907) 497-2311

NPI Details:

NPI Number1649332446
Provider Enumeration Date12/15/2006
Last Update Date04/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2860301884
Medicare Enrollment IDO20180413000684

Medical Identifiers

Medical identifiers for Eastern Aleutian Tribes, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649332446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastern Aleutian Tribes, Inc acts as a billing entity for following providers:
Provider NameCatherine Mizen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760465025
PECOS PAC ID: 0941104459
Enrollment ID: I20031125000500
Provider NameKatherine L Sterner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003860164
PECOS PAC ID: 1355244054
Enrollment ID: I20040129001129
Provider NameLynn E Gras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578528006
PECOS PAC ID: 5597735142
Enrollment ID: I20040729001353
Provider NameSandra Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083653836
PECOS PAC ID: 0648226860
Enrollment ID: I20050330000564
Provider NameShanda R Lohse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790891521
PECOS PAC ID: 0042255325
Enrollment ID: I20050627001181
Provider NamePornson P Linton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104017755
PECOS PAC ID: 1052347879
Enrollment ID: I20050714001019
Provider NameJune I Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396858114
PECOS PAC ID: 9032297304
Enrollment ID: I20080428000248
Provider NameChadwick Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821010109
PECOS PAC ID: 9638154164
Enrollment ID: I20100802000509
Provider NameKaren Jackman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073633491
PECOS PAC ID: 7214820398
Enrollment ID: I20110910002947
Provider NameYusef Ghamarian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558797217
PECOS PAC ID: 4082845227
Enrollment ID: I20140401000750
Provider NameLesley K De Jaray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700171030
PECOS PAC ID: 5395916167
Enrollment ID: I20140731002529
Provider NameSelanie A Sanone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932380839
PECOS PAC ID: 4981502358
Enrollment ID: I20141029001559
Provider NameKenneth T Wallenfelsz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457649998
PECOS PAC ID: 0749433506
Enrollment ID: I20141230000263
Provider NameAaron R Whittington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497138101
PECOS PAC ID: 4587979331
Enrollment ID: I20150824000020
Provider NameSara A Stetson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124491501
PECOS PAC ID: 4587969209
Enrollment ID: I20160217002616
Provider NameDawn R Lovisa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841212321
PECOS PAC ID: 3779776158
Enrollment ID: I20160316000197
Provider NameMolly Rothmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639238652
PECOS PAC ID: 0547458309
Enrollment ID: I20160421000227
Provider NameDrew D Dorschner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134582653
PECOS PAC ID: 2769771419
Enrollment ID: I20160519000142
Provider NameMary I Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508823584
PECOS PAC ID: 6103833355
Enrollment ID: I20161101001892
Provider NameRebecca Sturdevant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396802112
PECOS PAC ID: 0143120402
Enrollment ID: I20170803002864
Provider NameDanita N Koehler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750455150
PECOS PAC ID: 9638193659
Enrollment ID: I20180412002429
Provider NameRiley H Wyna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760982581
PECOS PAC ID: 4183987704
Enrollment ID: I20180413000148
Provider NameKathleen C Rooney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932351871
PECOS PAC ID: 3173686094
Enrollment ID: I20180418002075
Provider NameTerri L Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396018818
PECOS PAC ID: 7416110952
Enrollment ID: I20180509002140
Provider NameCameron A Karlsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316245509
PECOS PAC ID: 6305022518
Enrollment ID: I20180823002619
Provider NameMaureen A Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114190048
PECOS PAC ID: 6800960774
Enrollment ID: I20180911001981
Provider NameRebecca A Biersbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235564212
PECOS PAC ID: 8729213236
Enrollment ID: I20181108002756
Provider NameJohn Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003296484
PECOS PAC ID: 0446567127
Enrollment ID: I20190305001248
Provider NameJill S Cease
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245284249
PECOS PAC ID: 3971503269
Enrollment ID: I20190417000304
Provider NameRichard Fitzgerald Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902314511
PECOS PAC ID: 9931468725
Enrollment ID: I20190417000351
Provider NameWalter Argueta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508333717
PECOS PAC ID: 0749521854
Enrollment ID: I20190417001995
Provider NameCarol J Borg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356394282
PECOS PAC ID: 1557364486
Enrollment ID: I20190617001105
Provider NameColleen Slate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922246503
PECOS PAC ID: 0547317125
Enrollment ID: I20190826000564
Provider NameKrysta Byrnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073027942
PECOS PAC ID: 1456689314
Enrollment ID: I20190830000119
Provider NameGregory Bryant Proulx
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982038063
PECOS PAC ID: 6204065790
Enrollment ID: I20190830002305
Provider NameKadijatu Kakay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992051270
PECOS PAC ID: 3274862479
Enrollment ID: I20190913001198
Provider NameMegan Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528566098
PECOS PAC ID: 3870824428
Enrollment ID: I20191011001232
Provider NameBrittany Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871851022
PECOS PAC ID: 5799948873
Enrollment ID: I20191017000600
Provider NameMary Mackenburg Mohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073690012
PECOS PAC ID: 3577716158
Enrollment ID: I20191118001061
Provider NameShelly Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881008498
PECOS PAC ID: 9436379237
Enrollment ID: I20191218000720
Provider NameJyll K Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932260627
PECOS PAC ID: 1557388535
Enrollment ID: I20200107000199
Provider NameStacy L Newbern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386020352
PECOS PAC ID: 9436499910
Enrollment ID: I20200107000547
Provider NameTracey L Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306247796
PECOS PAC ID: 4284926254
Enrollment ID: I20200128000038
Provider NameHunter M Keys
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649696279
PECOS PAC ID: 2668697624
Enrollment ID: I20200206000136
Provider NameTimothy Michael Pruitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295738706
PECOS PAC ID: 9931131943
Enrollment ID: I20201230000640
Provider NameBrandon L Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609199629
PECOS PAC ID: 9537299573
Enrollment ID: I20210426001126
Provider NameKristen A Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124572540
PECOS PAC ID: 7416235627
Enrollment ID: I20210511000363
Provider NameJeffrey L Bevan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700992898
PECOS PAC ID: 1951300136
Enrollment ID: I20210527001957
Provider NameLisa A Langburd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558329664
PECOS PAC ID: 6800848284
Enrollment ID: I20210527002542
Provider NameCharissa M Kamps
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821361650
PECOS PAC ID: 6709047020
Enrollment ID: I20210601000690
Provider NameChristopher R Hemmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700802659
PECOS PAC ID: 2264455633
Enrollment ID: I20210913003367
Provider NameDecca Singletary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174932230
PECOS PAC ID: 4688993058
Enrollment ID: I20220216000133
Provider NameRichard E Steel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205016151
PECOS PAC ID: 4688751704
Enrollment ID: I20220712001490
Provider NameLinnea A Trageser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275563280
PECOS PAC ID: 6901932300
Enrollment ID: I20220713002656
Provider NameSarah J Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700214749
PECOS PAC ID: 0446487920
Enrollment ID: I20220927000264
Provider NameMary Sawyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477917391
PECOS PAC ID: 6406144302
Enrollment ID: I20230111000609
Provider NameJustin M Dowd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316563927
PECOS PAC ID: 2264855840
Enrollment ID: I20230317000414
Provider NameRachel Fortes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083852263
PECOS PAC ID: 3375609191
Enrollment ID: I20230424001109
Provider NameKaren Lynn Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306194576
PECOS PAC ID: 5890937726
Enrollment ID: I20230613001642
Provider NamePeggy L Knowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497093264
PECOS PAC ID: 3072758663
Enrollment ID: I20230810000044
Provider NameDeborah Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770908964
PECOS PAC ID: 2264663335
Enrollment ID: I20231128001233
Provider NameKathleen M Core
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013989904
PECOS PAC ID: 5890952444
Enrollment ID: I20231130000450
Provider NameNicole Shirvani
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295175347
PECOS PAC ID: 7315215522
Enrollment ID: I20231204000874
Provider NameLoretta B Charles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912341306
PECOS PAC ID: 0446474811
Enrollment ID: I20231214000153

Reviews and Comments


Clinic/Center in King Cove, AK


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.