| The Petersburg Medical Center | |
|
103 Fram Street Petersburg AK 99833-0589 | |
| (907) 772-4291 | |
| (907) 772-3085 |
| Full Name | The Petersburg Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 103 Fram Street, Petersburg, Alaska |
| Authorized Official Name and Position | Philip J Hofstetter (CEO) |
| Authorized Official Contact | 9077724291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Petersburg Medical Center Po Box 589 Petersburg AK 99833-0589 Ph: (907) 772-4291 | The Petersburg Medical Center 103 Fram Street Petersburg AK 99833-0589 Ph: (907) 772-4291 |
| NPI Number | 1437122843 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 5395730626 |
|---|---|
| Medicare Enrollment ID | O20040416000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437122843 | NPI | - | NPPES |
| HS09OP | Medicaid | AK | |
| HS09IP | Medicaid | AK |
| Provider Name | Mark W Tuccillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942237441 PECOS PAC ID: 0648338723 Enrollment ID: I20090612000311 |
| Provider Name | Alice L Hulebak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427271592 PECOS PAC ID: 9234318700 Enrollment ID: I20110131000210 |
| Provider Name | Jennifer E Hyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639395072 PECOS PAC ID: 4688853161 Enrollment ID: I20110131000235 |
| Provider Name | Joshua J Sonkiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477712180 PECOS PAC ID: 7719171578 Enrollment ID: I20110913000873 |
| Provider Name | Philip Hofstetter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215002068 PECOS PAC ID: 1355517228 Enrollment ID: I20111222000559 |
| Provider Name | Kristofor A Sargent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912133588 PECOS PAC ID: 0840428249 Enrollment ID: I20140109001752 |
| Provider Name | Cortney N Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536505 PECOS PAC ID: 2668626037 Enrollment ID: I20150128001782 |
| Provider Name | Patrick Sessa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760921753 PECOS PAC ID: 6103167382 Enrollment ID: I20190417000226 |
| Provider Name | Elizabeth Montgomery Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369206 PECOS PAC ID: 7719229178 Enrollment ID: I20190503002404 |
| Provider Name | Selina Andrea Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942511159 PECOS PAC ID: 6608047519 Enrollment ID: I20191021000832 |
| Provider Name | Ashley Kawashima |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861055337 PECOS PAC ID: 5496156291 Enrollment ID: I20210630003672 |
| Provider Name | Angela Dawn Menish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144954751 PECOS PAC ID: 8426439373 Enrollment ID: I20220902000109 |
| Provider Name | Jeanette Rae Ely |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952049157 PECOS PAC ID: 0648632646 Enrollment ID: I20230808001676 |
| Provider Name | Justin Monroe Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770160558 PECOS PAC ID: 0345648416 Enrollment ID: I20241120002752 |
South East Alaska Regional Health Consortium Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Gjoa St, Petersburg, AK 99833 Phone: 907-772-4963 Fax: 907-772-4964 | |
Petersburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 907-772-4299 Fax: 907-772-9273 |