Nicole Rose La Bombarda, PA-C - Medicare Physician Assistant in Nome, AK

Nicole Rose La Bombarda, PA-C is a medicare enrolled "Physician Assistant" in Nome, Alaska. Her current practice location is 1000 Greg Kruschek Avenue, Nome, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 443-3311.

Nicole Rose La Bombarda is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972743748.

Contact Information

Nicole Rose La Bombarda, PA-C
1000 Greg Kruschek Avenue,
Nome, AK 99762
(907) 443-3311
Not Available



Provider's Profile

Full NameNicole Rose La Bombarda
GenderFemale
SpecialityPhysician Assistant
Location1000 Greg Kruschek Avenue, Nome, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972743748
  • Provider Enumeration Date: 03/05/2009
  • Last Update Date: 06/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749339596
  • Enrollment ID: I20130624000600

Medical Identifiers

Medical identifiers for Nicole Rose La Bombarda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972743748NPI-NPPES
130061000MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Nicole Rose La Bombarda 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
Nicole Rose La Bombarda, PA-C
Po Box 1550,
Nome, AK 99762-1550

Ph: (907) 443-3504
Nicole Rose La Bombarda, PA-C
1000 Greg Kruschek Avenue,
Nome, AK 99762

Ph: (907) 443-3311

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› Verified 2 days ago


Physician Assistant Nurses in Nome, AK

Kathleen Marie Hinkle, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
Dawyn L. Sawyer, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 W 5th Avenue, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
Daniel Thomas, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
David Davalos, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
Richelle Fisher, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
Vinh Tran Tunley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 West 5th Avenue, Norton Sound Health Corporation, Nome, AK 99762
Phone: 907-443-3311    Fax: 907-443-3139
Mrs. Ashley Tucker Peterson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 306 W 5th Ave, Box 966, Nome, AK 99762
Phone: 907-443-4530    

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