Pure Healthcare Of Alaska Llc - Medicare Primary Care in Anchorage, AK

Pure Healthcare Of Alaska Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Anchorage, Alaska. The current practice location for Pure Healthcare Of Alaska Llc is 4200 Lake Otis Pkwy Ste 301, Anchorage, Alaska. For appointments, you can reach them via phone at (907) 318-9300. The mailing address for Pure Healthcare Of Alaska Llc is 4179 S Riverboat Rd Ste 220, Taylorsville, Utah and phone number is (801) 590-9267.

Pure Healthcare Of Alaska Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962100727. 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) 318-9300.

Contact Information

Pure Healthcare Of Alaska Llc
4200 Lake Otis Pkwy Ste 301
Anchorage
AK 99508-5226
(907) 318-9300
(907) 416-6961

Primary Care Clinic Profile

Full NamePure Healthcare Of Alaska Llc
SpecialityClinic/Center
Location4200 Lake Otis Pkwy Ste 301, Anchorage, Alaska
Authorized Official Name and PositionJoshua T Tandy (DIRECTOR)
Authorized Official Contact8015909267
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pure Healthcare Of Alaska Llc
4179 S Riverboat Rd Ste 220
Taylorsville
UT 84123-2986

Ph: (801) 590-9267
Pure Healthcare Of Alaska Llc
4200 Lake Otis Pkwy Ste 301
Anchorage
AK 99508-5226

Ph: (907) 318-9300

NPI Details:

NPI Number1962100727
Provider Enumeration Date02/21/2023
Last Update Date05/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7810358934
Medicare Enrollment IDO20230804000986

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Medical Identifiers

Medical identifiers for Pure Healthcare Of Alaska Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962100727NPI-NPPES

Medical Taxonomies and Licenses

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

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pure Healthcare Of Alaska Llc acts as a billing entity for following providers:
Provider NameJared John Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659860724
PECOS PAC ID: 1951634641
Enrollment ID: I20210921000725

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