Elliott Bruce Gagnon (NPI# 1417070905, PAC ID# 2264528868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1417070905 |
| PAC ID by PECOS | 2264528868 |
| Professional Enrollment ID | I20160426001532 |
| Full Name | Elliott Bruce Gagnon |
| Address |
950 E Bogard Rd Suite 209 Wasilla AK 99654-7172 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7172 |
| Street Address |
950 E BOGARD RD SUITE 209 |
| City | WASILLA |
| State | AK |
| Zip | 99654-7172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Neves George | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Duane I Odland | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 | |
| Patricia Beth Payne | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Rachel Adams | Nurse Practitioner | Mat-su Valley Medical Center LLC | 950 E Bogard Rd, Wasilla, AK 99654-7184 |
| John C Boston | Internal Medicine | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Valerie Clark | Nurse Practitioner | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
| Megan D Nystrom | Family Practice | Odland Family Practice Clinic, LLC | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 |
| Michael Michaud | Physician Assistant | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
| Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Find all physicians in zip 99654 | |||
| City | WASILLA |
| Zip Code | 99654 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WASILLA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Elliott Bruce Gagnon.
| 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.