| Heart Of Eagle River Medical Clinic | |
|
11432 Business Blvd Suite 4 Eagle River AK 99577-7720 | |
| (907) 694-1300 | |
| (907) 694-1315 |
| Full Name | Heart Of Eagle River Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11432 Business Blvd, Eagle River, Alaska |
| Authorized Official Name and Position | Nancy J Holder (BILLING AGENT) |
| Authorized Official Contact | 9076941300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Eagle River Medical Clinic 11432 Business Blvd Suite 4 Eagle River AK 99577-7720 Ph: (907) 694-1300 | Heart Of Eagle River Medical Clinic 11432 Business Blvd Suite 4 Eagle River AK 99577-7720 Ph: (907) 694-1300 |
| NPI Number | 1033277041 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 0345240214 |
|---|---|
| Medicare Enrollment ID | O20061228000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033277041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank H Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104812825 PECOS PAC ID: 7214832641 Enrollment ID: I20031126000729 |
| Provider Name | Olga I Wasile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306952569 PECOS PAC ID: 4880593375 Enrollment ID: I20040105000134 |
| Provider Name | Jose Pn Anzilotti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619955606 PECOS PAC ID: 5193725281 Enrollment ID: I20070115000353 |
| Provider Name | Mark W Doughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982095444 PECOS PAC ID: 1456667591 Enrollment ID: I20150903001014 |
| Provider Name | Donna J Rymut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861762486 PECOS PAC ID: 1658737275 Enrollment ID: I20230523002981 |
Zmg Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12641 Old Glenn Hwy, Suite 101, Eagle River, AK 99577 Phone: 907-726-1400 Fax: 907-726-1405 | |
Jessica Spayd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11823 Old Glenn Hwy, Suite 110, Eagle River, AK 99577 Phone: 907-622-4673 Fax: 907-622-4674 | |
Harmony Holistic Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11723 Old Glenn Hwy Ste 213, Eagle River, AK 99577 Phone: 907-694-4445 | |
Anchorage Housecall Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1444 S Creek Rd, Eagle River, AK 99577 Phone: 907-622-4663 Fax: 907-622-4643 | |
True North Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11431 Buisness Blvd, Eagle River, AK 99577 Phone: 907-696-8783 Fax: 907-696-8738 | |
Alaska Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11470 Business Blvd, Ste 100, Eagle River, AK 99577 Phone: 907-622-4325 Fax: 907-622-4326 |