Laser Vein Center Of Fairbanks, Llc - Medicare Primary Care in Fairbanks, AK

Laser Vein Center Of Fairbanks, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Fairbanks, Alaska. The current practice location for Laser Vein Center Of Fairbanks, Llc is 506 Gaffney Rd, Suite 300, Fairbanks, Alaska. For appointments, you can reach them via phone at (907) 452-8346. The mailing address for Laser Vein Center Of Fairbanks, Llc is Po Box 440, Ester, Alaska and phone number is () -.

Laser Vein Center Of Fairbanks, Llc is licensed to practice in Alaska (license number 903255). The clinic also participates in the medicare program and its NPI number is 1124161716. 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) 452-8346.

Contact Information

Laser Vein Center Of Fairbanks, Llc
506 Gaffney Rd
Suite 300
Fairbanks
AK 99701-4914
(907) 452-8346
(907) 451-8346

Primary Care Clinic Profile

Full NameLaser Vein Center Of Fairbanks, Llc
SpecialityClinic/Center
Location506 Gaffney Rd, Fairbanks, Alaska
Authorized Official Name and PositionDonald Ives (MANAGER)
Authorized Official Contact9074528346
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laser Vein Center Of Fairbanks, Llc
Po Box 440
Ester
AK 99725-0440

Ph: () -
Laser Vein Center Of Fairbanks, Llc
506 Gaffney Rd
Suite 300
Fairbanks
AK 99701-4914

Ph: (907) 452-8346

NPI Details:

NPI Number1124161716
Provider Enumeration Date02/14/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9931206448
Medicare Enrollment IDO20070517000500

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Medical Identifiers

Medical identifiers for Laser Vein Center Of Fairbanks, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124161716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 903255 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Laser Vein Center Of Fairbanks, Llc acts as a billing entity for following providers:
Provider NamePaul W Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467462887
PECOS PAC ID: 6709952880
Enrollment ID: I20140618000277

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Provider NameJesse Sandoval
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972552271
PECOS PAC ID: 9739168345
Enrollment ID: I20160407002168

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