| Southeast Physicians Services | |
|
3240 Hospital Dr Juneau AK 99801-7808 | |
| (907) 796-8212 | |
| Not Available |
| Full Name | Southeast Physicians Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3240 Hospital Dr, Juneau, Alaska |
| Authorized Official Name and Position | Joseph Wanner (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9077968900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Physicians Services 3260 Hospital Dr Juneau AK 99801 Ph: (907) 796-8632 | Southeast Physicians Services 3240 Hospital Dr Juneau AK 99801-7808 Ph: (907) 796-8212 |
| NPI Number | 1154331734 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 11/21/2023 |
| Medicare PECOS PAC ID | 7517950868 |
|---|---|
| Medicare Enrollment ID | O20040405000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154331734 | NPI | - | NPPES |
| 1020554 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Heidi F Lopez Coonjohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679581508 PECOS PAC ID: 7810901055 Enrollment ID: I20060126000965 |
| Provider Name | Tina M Pleasants |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699842989 PECOS PAC ID: 7618153487 Enrollment ID: I20110511000459 |
| Provider Name | Joshua J Sonkiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477712180 PECOS PAC ID: 7719171578 Enrollment ID: I20110913000873 |
| Provider Name | Stephanie Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891006946 PECOS PAC ID: 9739307448 Enrollment ID: I20150921002462 |
| Provider Name | America Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053822791 PECOS PAC ID: 9830459544 Enrollment ID: I20190305002443 |
| Provider Name | Judith Carol Engelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518184506 PECOS PAC ID: 1850315680 Enrollment ID: I20190531002136 |
| Provider Name | Justina Ai Yuen Yung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063888634 PECOS PAC ID: 3173857620 Enrollment ID: I20190703000401 |
| Provider Name | Cynthia Kathleen Rutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346325883 PECOS PAC ID: 7618204140 Enrollment ID: I20200215000122 |
| Provider Name | Monika Karazja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801206578 PECOS PAC ID: 1759656960 Enrollment ID: I20200928003298 |
| Provider Name | Alvin Fineman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497826051 PECOS PAC ID: 5597753202 Enrollment ID: I20201215000597 |
| Provider Name | Nicole Lake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285211300 PECOS PAC ID: 5294144036 Enrollment ID: I20210507002330 |
| Provider Name | John Tarim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396165510 PECOS PAC ID: 8729324298 Enrollment ID: I20210615000372 |
| Provider Name | Eli Oates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487765186 PECOS PAC ID: 0244381705 Enrollment ID: I20210816001952 |
| Provider Name | Caitlin Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639428360 PECOS PAC ID: 4981925856 Enrollment ID: I20220422002509 |
| Provider Name | Bruce Matthew Weeks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649392184 PECOS PAC ID: 3779518915 Enrollment ID: I20230510001844 |
| Provider Name | Marie Roy Babbitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205223526 PECOS PAC ID: 7810238805 Enrollment ID: I20230822002691 |
| Provider Name | James Digioia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154312742 PECOS PAC ID: 2365331352 Enrollment ID: I20231002003557 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20231008000140 |
| Provider Name | Genova Stearns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952517880 PECOS PAC ID: 6800876038 Enrollment ID: I20231121002740 |
| Provider Name | Leslye Ann Galey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013485127 PECOS PAC ID: 1850749136 Enrollment ID: I20231127003072 |
| Provider Name | Katherine Ann Ferris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437860509 PECOS PAC ID: 6204286099 Enrollment ID: I20231219004115 |
| Provider Name | Elisha Marie Rivers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932628658 PECOS PAC ID: 6800246968 Enrollment ID: I20240102002236 |
| Provider Name | Matthew Shepherd Lamb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104463629 PECOS PAC ID: 0143671057 Enrollment ID: I20240104003052 |
| Provider Name | Christine Doyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477231892 PECOS PAC ID: 5294187662 Enrollment ID: I20240122002103 |
| Provider Name | Brandon Kay Eubanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508400896 PECOS PAC ID: 3870937980 Enrollment ID: I20240216001974 |
| Provider Name | Raymond Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629518840 PECOS PAC ID: 7810387560 Enrollment ID: I20240227003453 |
| Provider Name | Paulette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093943458 PECOS PAC ID: 7517194681 Enrollment ID: I20240229004190 |
| Provider Name | Kelly Hamilton Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972658870 PECOS PAC ID: 3678919891 Enrollment ID: I20240311002288 |
| Provider Name | Katelyn Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659732964 PECOS PAC ID: 9234575390 Enrollment ID: I20240311004164 |
Southeast Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 641 W Willoughby Ave, Ste 201, Juneau, AK 99801 Phone: 907-586-8100 Fax: 907-586-8102 | |
Jamhi Health & Wellness, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1944 Allen Ct Ste A, Juneau, AK 99801 Phone: 907-463-6882 | |
Searhc Physical Rehabilitation Clinic-juneau Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 Crest St, Juneau, AK 99801 Phone: 907-463-6682 Fax: 907-463-6648 | |
Front Street Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Front St Ste 202, Juneau, AK 99801 Phone: 907-463-4201 Fax: 907-463-6617 | |
Family Practice Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10301 Glacier Hwy, Juneau, AK 99801 Phone: 907-789-2910 Fax: 907-789-5545 | |
Juneau Front Street Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S Front Street, Juneau, AK 99801 Phone: 907-463-4201 |