Kodiak Area Native Association - Medicare Primary Care in Kodiak, AK

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Kodiak Area Native Association is a medicare enrolled primary clinic (Clinic/center - Community Health) in Kodiak, Alaska. The current practice location for Kodiak Area Native Association is 3449 E Rezanof Dr, Kodiak, Alaska. For appointments, you can reach them via phone at (907) 486-9800. The mailing address for Kodiak Area Native Association is 3449 E Rezanof Dr, Kodiak, Alaska and phone number is (907) 486-9800.

Kodiak Area Native Association is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679514236. 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) 486-9800.

Contact Information

Kodiak Area Native Association
3449 E Rezanof Dr
Kodiak
AK 99615-6952
(907) 486-9800
(907) 486-9898

Map and Direction


Primary Care Clinic Profile

Full NameKodiak Area Native Association
SpecialityClinic/Center
Location3449 E Rezanof Dr, Kodiak, Alaska
Authorized Official Name and PositionMike Pfeffer (CEO)
Authorized Official Contact9074869800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kodiak Area Native Association
3449 E Rezanof Dr
Kodiak
AK 99615-6952

Ph: (907) 486-9800		Kodiak Area Native Association
3449 E Rezanof Dr
Kodiak
AK 99615-6952

Ph: (907) 486-9800

NPI Details:

NPI Number1679514236
Provider Enumeration Date06/08/2006
Last Update Date02/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8426959297
Medicare Enrollment IDO20041004000838

Medical Identifiers

Medical identifiers for Kodiak Area Native Association such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679514236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kodiak Area Native Association acts as a billing entity for following providers:
Provider NameLynette R Dziuk
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629033527
PECOS PAC ID: 8729986948
Enrollment ID: I20031226000171
Provider NameElizabeth D. Ferucci
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1598705121
PECOS PAC ID: 2163418567
Enrollment ID: I20040421001677
Provider NameCharles C Edwards
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447291067
PECOS PAC ID: 3476448796
Enrollment ID: I20050302000119
Provider NameYoussef K Barbour
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588846042
PECOS PAC ID: 5991888067
Enrollment ID: I20080212000715
Provider NameSandra L Graham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629250998
PECOS PAC ID: 5092891895
Enrollment ID: I20080319000290
Provider NameMatthew J Schnellbaecher
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1942233481
PECOS PAC ID: 1557440211
Enrollment ID: I20080506000563
Provider NameDavid G Chamberlain
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407895949
PECOS PAC ID: 2062562929
Enrollment ID: I20090615000605
Provider NameSam J Chelmo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275794778
PECOS PAC ID: 4385819242
Enrollment ID: I20111205000938
Provider NameRobert W Davis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932172178
PECOS PAC ID: 7911050810
Enrollment ID: I20131028001588
Provider NameLaura L Shively
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1174797088
PECOS PAC ID: 1254568231
Enrollment ID: I20131219000400
Provider NameElise M Pletnikoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598056590
PECOS PAC ID: 4789813387
Enrollment ID: I20140130001541
Provider NameChristy S Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639349798
PECOS PAC ID: 6507923919
Enrollment ID: I20140614000013
Provider NameEvan Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275829517
PECOS PAC ID: 8022239524
Enrollment ID: I20141027001765
Provider NameMatthew S Ubedei
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962681171
PECOS PAC ID: 3971720954
Enrollment ID: I20150710001908
Provider NameStephanie Shryock
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1437535010
PECOS PAC ID: 8022313741
Enrollment ID: I20160217002268
Provider NameJoshua Tokita
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1548581234
PECOS PAC ID: 1658511597
Enrollment ID: I20170725000242
Provider NameLilian K Ho
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659798114
PECOS PAC ID: 4981925476
Enrollment ID: I20171020000831
Provider NameToni Rae Osiecki
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669803557
PECOS PAC ID: 4789950254
Enrollment ID: I20171027001985
Provider NameTirza A Cannon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275842510
PECOS PAC ID: 1759607013
Enrollment ID: I20171107001045
Provider NameJacob Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912522012
PECOS PAC ID: 0446672281
Enrollment ID: I20200623003473
Provider NameLinda G Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356645097
PECOS PAC ID: 3678744398
Enrollment ID: I20200928002463
Provider NameKatie Jane Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174055644
PECOS PAC ID: 0345518148
Enrollment ID: I20201228001691
Provider NameElizabeth Litoff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1437641545
PECOS PAC ID: 7517361751
Enrollment ID: I20210810001237
Provider NameJordan S Gardner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467728261
PECOS PAC ID: 5799083168
Enrollment ID: I20211203002255
Provider NameRachel C Jermann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699204529
PECOS PAC ID: 3274899687
Enrollment ID: I20220302002442
Provider NameAlison E Horn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942962170
PECOS PAC ID: 9133514854
Enrollment ID: I20220316001215
Provider NameMyles Sorokovsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700432762
PECOS PAC ID: 5799112041
Enrollment ID: I20230329000050
Provider NameRaul Mendez Guevara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235860925
PECOS PAC ID: 7618332123
Enrollment ID: I20230504001831
Provider NameAdriana Rosas Masi
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1922494517
PECOS PAC ID: 6507172897
Enrollment ID: I20231129001838
Provider NameShantai Mcdermott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093112898
PECOS PAC ID: 6507169984
Enrollment ID: I20231218000704
Provider NameMelissa L Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962270819
PECOS PAC ID: 3870930613
Enrollment ID: I20240328001294
Provider NameHannah Gordon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740881069
PECOS PAC ID: 1759728504
Enrollment ID: I20240328001417
Provider NameJordan Beard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073175212
PECOS PAC ID: 8325487101
Enrollment ID: I20240412000695
Provider NameBrittney Elizabeth Fried
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750160776
PECOS PAC ID: 8224479324
Enrollment ID: I20240507002174
Provider NameMelissa Marie Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1679100515
PECOS PAC ID: 7810439940
Enrollment ID: I20240605000196
Provider NameTasha Pedersen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043860380
PECOS PAC ID: 9739628702
Enrollment ID: I20240822002730
Provider NameStephen L Flora
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1427240258
PECOS PAC ID: 4789123977
Enrollment ID: I20240903000245
Provider NameJeremy James Haines
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1811444201
PECOS PAC ID: 3274067525
Enrollment ID: I20241111000477
Provider NameEmily Kashea Dixon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164140323
PECOS PAC ID: 5193259869
Enrollment ID: I20241118001770
Provider NameStephen A Tullis
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1700955416
PECOS PAC ID: 5092095364
Enrollment ID: I20250130000969
Provider NameJennifer Abrams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497066161
PECOS PAC ID: 2264666585
Enrollment ID: I20250203002994
Provider NameShelane Alexis Jenkins
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1639465388
PECOS PAC ID: 1456870153
Enrollment ID: I20250527001506

Reviews and Comments


Clinic/Center in Kodiak, AK

Kodiak Area Native Association
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9800    Fax: 907-486-9897
North Pacific Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 104 Center Ave, Ste 100, Kodiak, AK 99615
Phone: 907-486-4183    Fax: 907-486-4233
Kodiak Area Native Association
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9868    Fax: 907-486-9884
Arctic Chiropractic And Physical Medicine Kodiak
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2975 Mill Bay Rd Ste A, Kodiak, AK 99615
Phone: 907-512-0809    Fax: 907-512-0828
Kodiak Island Medical Associates Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-6065    Fax: 907-486-2248
Kodiak Island Medical Associates Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-6065    Fax: 907-486-2248

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.