Identity Health Clinic - Medicare Primary Care in Anchorage, AK

Identity Health Clinic is a medicare enrolled primary clinic (Clinic/center) in Anchorage, Alaska. The current practice location for Identity Health Clinic is 307 E Northern Lights Blvd Ste 101, Anchorage, Alaska. For appointments, you can reach them via phone at (907) 865-3247. The mailing address for Identity Health Clinic is 801 W Fireweed Ln Ste 103, Anchorage, Alaska and phone number is (452) 890-7929.

Identity Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225633449. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (907) 865-3247.

Contact Information

Identity Health Clinic
307 E Northern Lights Blvd Ste 101
Anchorage
AK 99503-2701
(907) 865-3247
(833) 992-2022

Primary Care Clinic Profile

Full NameIdentity Health Clinic
SpecialityClinic/Center
Location307 E Northern Lights Blvd Ste 101, Anchorage, Alaska
Authorized Official Name and PositionLynn Murphy (OPERATIONS DIRECTOR)
Authorized Official Contact9079294528
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Identity Health Clinic
801 W Fireweed Ln Ste 103
Anchorage
AK 99503-1893

Ph: (452) 890-7929
Identity Health Clinic
307 E Northern Lights Blvd Ste 101
Anchorage
AK 99503-2701

Ph: (907) 865-3247

NPI Details:

NPI Number1225633449
Provider Enumeration Date12/04/2020
Last Update Date03/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5395150460
Medicare Enrollment IDO20210223001828

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Medical Identifiers

Medical identifiers for Identity Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225633449NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Identity Health Clinic acts as a billing entity for following providers:
Provider NameTracey Lauren Wiese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467781021
PECOS PAC ID: 7315075843
Enrollment ID: I20100504000715

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Provider NameCrystal J Beal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609130723
PECOS PAC ID: 5991025017
Enrollment ID: I20200512003702

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Provider NameMonica Holloway Perez-verdia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508316324
PECOS PAC ID: 4587083373
Enrollment ID: I20200928003069

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Provider NameJennifer Talley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699498055
PECOS PAC ID: 3779946280
Enrollment ID: I20230831001555

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› Verified 2 days ago


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