The Petersburg Medical Center - Medicare Primary Care in Petersburg, AK

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The Petersburg Medical Center is a medicare enrolled primary clinic (General Acute Care Hospital - Critical Access) in Petersburg, Alaska. The current practice location for The Petersburg Medical Center is 103 Fram Street, Petersburg, Alaska. For appointments, you can reach them via phone at (907) 772-4291. The mailing address for The Petersburg Medical Center is Po Box 589, Petersburg, Alaska and phone number is (907) 772-4291.

The Petersburg Medical Center is licensed to practice in Alaska (license number ). The clinic also participates in the medicare program and its NPI number is 1437122843. 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) 772-4291.

Contact Information

The Petersburg Medical Center
103 Fram Street
Petersburg
AK 99833-0589
(907) 772-4291
(907) 772-3085

Map and Direction


Primary Care Clinic Profile

Full NameThe Petersburg Medical Center
SpecialityGeneral Acute Care Hospital
Location103 Fram Street, Petersburg, Alaska
Authorized Official Name and PositionPhilip J Hofstetter (CEO)
Authorized Official Contact9077724291
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1437122843
Provider Enumeration Date02/08/2006
Last Update Date12/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5395730626
Medicare Enrollment IDO20040416000917

Medical Identifiers

Medical identifiers for The Petersburg Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437122843NPI-NPPES
HS09OPMedicaidAK
HS09IPMedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QA0600XClinic/center - Adult Day Care (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Petersburg Medical Center acts as a billing entity for following providers:
Provider NameMark W Tuccillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942237441
PECOS PAC ID: 0648338723
Enrollment ID: I20090612000311
Provider NameRodney Lee Anderson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255477410
PECOS PAC ID: 0143413427
Enrollment ID: I20101019000860
Provider NameMargaret D Fleming
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1376641092
PECOS PAC ID: 6507051844
Enrollment ID: I20101111000885
Provider NameAlice L Hulebak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427271592
PECOS PAC ID: 9234318700
Enrollment ID: I20110131000210
Provider NameJennifer E Hyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639395072
PECOS PAC ID: 4688853161
Enrollment ID: I20110131000235
Provider NamePhilip Hofstetter
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1215002068
PECOS PAC ID: 1355517228
Enrollment ID: I20111222000559
Provider NameKristofor A Sargent
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912133588
PECOS PAC ID: 0840428249
Enrollment ID: I20140109001752
Provider NameCortney N Hess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346536505
PECOS PAC ID: 2668626037
Enrollment ID: I20150128001782
Provider NamePatrick Sessa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760921753
PECOS PAC ID: 6103167382
Enrollment ID: I20190417000226
Provider NameElizabeth Montgomery Poole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013369206
PECOS PAC ID: 7719229178
Enrollment ID: I20190503002404
Provider NameSelina Andrea Burt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942511159
PECOS PAC ID: 6608047519
Enrollment ID: I20191021000832
Provider NameAshley Kawashima
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861055337
PECOS PAC ID: 5496156291
Enrollment ID: I20210630003672
Provider NameBuck Bania
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154685972
PECOS PAC ID: 6305082447
Enrollment ID: I20220228001199
Provider NameAngela Dawn Menish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144954751
PECOS PAC ID: 8426439373
Enrollment ID: I20220902000109

Reviews and Comments


General Acute Care Hospital in Petersburg, AK

Petersburg Clinic
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

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.