Dr Lance Russell Dunlop, MD - Medicare Psychiatry in Fairbanks, AK

Dr Lance Russell Dunlop, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fairbanks, Alaska. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2004 and has 20 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Tanana Valley Clinic Llc and his current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 458-5250.

Dr Lance Russell Dunlop is licensed to practice in Alaska (license number 100774) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457452674.

Contact Information

Dr Lance Russell Dunlop, MD
1650 Cowles St,
Fairbanks, AK 99701-5907
(907) 458-5250
(907) 458-5255



Physician's Profile

Full NameDr Lance Russell Dunlop
GenderMale
SpecialityPsychiatry
Experience20 Years
Location1650 Cowles St, Fairbanks, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lance Russell Dunlop attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2004
  NPI Data:
  • NPI Number: 1457452674
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 12/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224165113
  • Enrollment ID: I20190307001317

Medical Identifiers

Medical identifiers for Dr Lance Russell Dunlop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457452674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0300XPreventive Medicine - Addiction Medicine MD430027 (Pennsylvania)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 100774 (Alaska)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 25MA09349400 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MA09349400 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD430027 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MT184139 (Pennsylvania)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 25MA09349400 (New Jersey)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 100774 (Alaska)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MD430027 (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 100774 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairbanks Memorial HospitalFairbanks, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tanana Valley Clinic Llc5698056901105

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lance Russell Dunlop allows following entities to bill medicare on his behalf.
Entity NameTanana Valley Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lance Russell Dunlop is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lance Russell Dunlop, MD
1650 Cowles St,
Fairbanks, AK 99701-5907

Ph: (907) 458-5250
Dr Lance Russell Dunlop, MD
1650 Cowles St,
Fairbanks, AK 99701-5907

Ph: (907) 458-5250

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Psychiatry & Neurology Doctors in Fairbanks, AK

Dr. Patrick D Dean, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1650 Cowles Street, Fairbanks, AK 99701
Phone: 907-458-5415    
Janice Onorato, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1867 Airport Way, Ste 205, Fairbanks, AK 99701
Phone: 907-455-7003    Fax: 866-465-7729
Monique Dase Smith, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1717 W Cowles St, Fairbanks, AK 99701
Phone: 907-459-3800    
Ronald A Martino, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Lathrop St, Ste 220, Fairbanks, AK 99701
Phone: 907-452-1739    Fax: 907-452-2384
Adam Miguel Estevez, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 160 Cowles St, Fairbanks Memorial Hospital, Fairbanks, AK 99701
Phone: 907-458-5525    Fax: 907-458-5514
Dr. Sasha Elizabeth Ericksen, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 122 1st Ave Ste 600, Fairbanks, AK 99701
Phone: 907-459-3800    Fax: 907-459-3810
Jereme T. Vaughan,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3101 Lathrop St, Fairbanks, AK 99701
Phone: 907-459-4700    

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