| Wild Iris Llc | |
|
851 E Westpoint Dr Suite 207 Wasilla AK 99654-7183 | |
| (907) 373-9463 | |
| Not Available |
| Full Name | Wild Iris Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 851 E Westpoint Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Lisa Harrison (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9073739463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Iris Llc 851 E Westpoint Dr Suite 207 Wasilla AK 99654-7183 Ph: (907) 373-9463 | Wild Iris Llc 851 E Westpoint Dr Suite 207 Wasilla AK 99654-7183 Ph: (907) 373-9463 |
| NPI Number | 1003244211 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 0042447724 |
|---|---|
| Medicare Enrollment ID | O20131230001985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003244211 | NPI | - | NPPES |
| 1012605 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5448 (Alaska) | Primary |
| Provider Name | Lisa L Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821004383 PECOS PAC ID: 5597712653 Enrollment ID: I20050331001289 |
Family Medicine Of Alaska Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1261 S Seward Meridian Pkwy, Suite A, Wasilla, AK 99654 Phone: 907-376-1276 Fax: 907-373-0755 | |
Integrated Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 E Hjellen Drive, Wasilla, AK 99654 Phone: 907-696-1654 Fax: 907-696-3654 | |
Sunshine Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10015 Redington Rd, Wasilla, AK 99687 Phone: 907-733-2273 | |
Odland Family Practice Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd, Suite 234, Wasilla, AK 99654 Phone: 907-355-0850 Fax: 907-373-0117 | |
David L. Barnes, D.o. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 E Meridian Loop Ste A, Wasilla, AK 99654 Phone: 907-376-2868 Fax: 907-376-2811 | |
Alaska Heart Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Bogard Rd, Suite 207, Wasilla, AK 99654 Phone: 907-357-9444 |