Mary A Egbert (NPI# 1174703268, PAC ID# 6901893940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174703268 |
| PAC ID by PECOS | 6901893940 |
| Professional Enrollment ID | I20040430000423 |
| Full Name | Mary A Egbert |
| Organization Legal Name | NORTHWOODS FAMILY MEDICINE INC |
| Address |
1301 E Palmer Wasilla Hwy Suite 400 Wasilla AK 99654-7257 |
| Phone Number | 9073579400 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648554741 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1301 E Palmer Wasilla Hwy, Suite 400, Wasilla, AK 99654-7257 | 9073579400 | NORTHWOODS FAMILY MEDICINE INC |
| Organization Legal Name | NORTHWOODS FAMILY MEDICINE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald E Smith | Physician Assistant | Northwoods Family Medicine Inc | 1301 E Palmer Wasilla Hwy, Suite 400, Wasilla, AK 99654-7257 |
| Frank A Greathouse Iii | Family Medicine | Northwoods Family Medicine Inc | 1301 E Palmer Wasilla Hwy, Suite 400, Wasilla, AK 99654-7257 |
| Street Address |
1301 E PALMER WASILLA HWY SUITE 400 |
| City | WASILLA |
| State | AK |
| Zip | 99654-7257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald E Smith | Physician Assistant | Northwoods Family Medicine Inc | 1301 E Palmer Wasilla Hwy, Suite 400, Wasilla, AK 99654-7257 |
| Frank A Greathouse Iii | Family Medicine | Northwoods Family Medicine Inc | 1301 E Palmer Wasilla Hwy, Suite 400, Wasilla, AK 99654-7257 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | WASILLA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary A Egbert.
| 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.