Deborah A Reynolds (NPI# 1609882026, PAC ID# 3274534508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609882026 |
| PAC ID by PECOS | 3274534508 |
| Professional Enrollment ID | I20070129000538 |
| Full Name | Deborah A Reynolds |
| Organization Legal Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Address |
8 Th St Extension Hydaburg AK 99922 |
| Phone Number | 9072853462 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456265362 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021314 | MT EDGECUMBE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8 Th St Extension, Hydaburg, AK 99922 | 9072853462 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Organization Legal Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney Vaught | Family Medicine | Southeast Alaska Regional Health Consortium | 42 Dolly Varden Lane, Search Aics Gustavus Community Clinic, Gustavus, AK 99826-0399 |
| Jacqueline Bolmer | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 814 Halibut Point Rd, Sitka, AK 99835-7101 |
| Donna M Paul | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 232 Wood St, Search Aics Medical Clinic, Wrangell, AK 99929-2133 |
| Todd Galuszka | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 105 Totem Way, Kake, AK 99830 |
| Karen M Smith | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 101 Salmon Way, Pelican, AK 99832 |
| Courtney Ah Vickery | Family Medicine | Southeast Alaska Regional Health Consortium | 37 Chilkat Ave, Klukwan Health Center, Klukwan, AK 99827-0690 |
| Diana L Lachman | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 725 Relay Rd, Angoon, AK 99820 |
| David K Zetterman | Family Medicine | Southeast Alaska Regional Health Consortium | 7300 A Klawock Hoolis Hwy, Klawock, AK 99925 |
| Grace Hwang | Family Medicine | Southeast Alaska Regional Health Consortium | 209 Moller Ave, Sitka, AK 99835-7142 |
| Shannon Farr | Optometry | Southeast Alaska Regional Health Consortium | 1200 Salmon Creek Ln, Juneau, AK 99801-7861 |
| Street Address |
8 TH ST EXTENSION |
| City | HYDABURG |
| State | AK |
| Zip | 99922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daphne Anne Solomon | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 8 Th St Extension, Hydaburg, AK 99922 |
| City | HYDABURG |
| Zip Code | 99922 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HYDABURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.