Mr Mark Edward Withrow, MD - General Practice in Kodiak, AK

Mr Mark Edward Withrow, MD is a General Practice physician based in Kodiak, Alaska. Mr Mark Edward Withrow is licensed to practice in Alaska (license number AA1478) and his current practice location is 1818 E Rezanof Dr, Kodiak, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 486-6065.

NPI number for Mr Mark Edward Withrow is 1417920497 and his current mailing address is 1818 E Rezanof Dr, Kodiak, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417920497.

Contact Information

Mr Mark Edward Withrow, MD
1818 E Rezanof Dr,
Kodiak, AK 99615
(907) 486-6065
(907) 486-2248



Physician's Profile

Full NameMr Mark Edward Withrow
GenderMale
SpecialityGeneral Practice
Location1818 E Rezanof Dr, Kodiak, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417920497
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Mark Edward Withrow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417920497NPI-NPPES
MD1478MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice AA1478 (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. Mr Mark Edward Withrow 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 AddressPractice Location Address
Mr Mark Edward Withrow, MD
1818 E Rezanof Dr,
Kodiak, AK 99615

Ph: (907) 486-6065
Mr Mark Edward Withrow, MD
1818 E Rezanof Dr,
Kodiak, AK 99615

Ph: (907) 486-6065

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› Verified 8 days ago


General Practice Doctors in Kodiak, AK

Diane C Wolkoff,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9870    Fax: 907-486-9898
Mrs. Shana J Jones, RN
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9800    Fax: 907-486-9898
Georgia J Blain,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9870    Fax: 907-486-9898
Nadiya James, RN
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9800    Fax: 907-486-9898
Bettye Plyler, LPN
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 East Rezanof Drive, Kodiak, AK 99615
Phone: 907-486-9870    Fax: 907-486-9898
Judith K Spoerer,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9870    Fax: 907-486-9898

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