| Premier Sports Medicine, Inc. | |
|
35670 Kenai Spur Hwy Ste 104 Soldotna AK 99669-7649 | |
| (907) 262-0801 | |
| (907) 262-0860 |
| Full Name | Premier Sports Medicine, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 35670 Kenai Spur Hwy Ste 104, Soldotna, Alaska |
| Authorized Official Name and Position | Cheryl Kay Larson (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 9072620801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Sports Medicine, Inc. 35670 Kenai Spur Hwy Ste 104 Soldotna AK 99669-7649 Ph: (907) 262-0801 | Premier Sports Medicine, Inc. 35670 Kenai Spur Hwy Ste 104 Soldotna AK 99669-7649 Ph: (907) 262-0801 |
| NPI Number | 1659846293 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 9234523127 |
|---|---|
| Medicare Enrollment ID | O20220217002310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659846293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Brian E Larson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952473415 PECOS PAC ID: 5092733022 Enrollment ID: I20060112000030 |
| Provider Name | Ian K Ques |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346934452 PECOS PAC ID: 1759823909 Enrollment ID: I20240604001313 |
South Central Family Practice Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 161 N Binkley St, Suite 101, Soldotna, AK 99669 Phone: 907-260-7784 Fax: 907-260-7738 | |
Central Peninsula General Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W Katmai Ave, Soldotna, AK 99669 Phone: 907-714-4726 | |
Ravencrest Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35670 Kenai Spur Hwy Ste 102, Soldotna, AK 99669 Phone: 907-921-2221 | |
Upstream Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35743 Kenai Spur Hwy Ste A, Soldotna, AK 99669 Phone: 907-260-4468 Fax: 907-260-4467 | |
River Health & Wellness, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35671 Kenai Spur Hwy, Soldotna, AK 99669 Phone: 907-260-1655 Fax: 855-854-8577 | |
Marcus C Deede Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Binkley St, Soldotna, AK 99669 Phone: 907-262-9341 Fax: 907-262-1545 | |
Charles G. Perkins Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Warehouse Ave, Suite C, Soldotna, AK 99669 Phone: 907-262-6557 Fax: 907-262-6559 |