Maryellen Gordian, MD in Ft Richardson, AK - General Practice

Maryellen Gordian, MD is a General Practice physician based in Ft Richardson, Alaska. Maryellen Gordian is licensed to practice in Alaska (license number 2758) and her current practice location is Bldg 60702, Ft Richardson, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 384-6017.

NPI number for Maryellen Gordian is 1194704619 and her current mailing address is Po Box 241769, Anchorage, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194704619.

Contact Information

	Maryellen Gordian, MD
	Bldg 60702, Ft Richardson, AK 99505
	(907) 384-6017
	Not Available

Physician's Profile

Full Name	Maryellen Gordian
Gender	Female
Speciality	General Practice
Location	Bldg 60702, Ft Richardson, Alaska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1194704619
Provider Enumeration Date: 01/12/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Maryellen Gordian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194704619	NPI	-	NPPES
MD27581	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	2758 (Alaska)	Primary

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. Maryellen Gordian is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Maryellen Gordian, MD Po Box 241769, Anchorage, AK 99524-1769 Ph: (907) 770-2380	Maryellen Gordian, MD Bldg 60702, Ft Richardson, AK 99505 Ph: (907) 384-6017

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Maryellen Gordian, MD - General Practice in Ft Richardson, AK