Olivia Jw Petrie (NPI# 1124416334, PAC ID# 8921325424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124416334 |
| PAC ID by PECOS | 8921325424 |
| Professional Enrollment ID | I20150321000002 |
| Full Name | Olivia Jw Petrie |
| Organization Legal Name | EASTERN ALEUTIAN TRIBES, INC. |
| Address |
49 Main St False Pass AK 99583 |
| Phone Number | 9075482742 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860301884 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021314 | MT EDGECUMBE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 49 Main St, False Pass, AK 99583 | 9075482742 | EASTERN ALEUTIAN TRIBES, INC. |
| 49 Main St, Anna Hoblet Memorial Clinic, False Pass, AK 99583 | 9075482742 | EASTERN ALEUTIAN TRIBES, INC. |
| 100 Slocum Dr, King Cove, AK 99612 | 9074972311 | EASTERN ALEUTIAN TRIBES, INC. |
| 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 | 9074972311 | EASTERN ALEUTIAN TRIBES, INC. |
| 222 Tongass Dr, Sitka, AK 99835-9416 | 9079662411 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| 814 Halibut Point Rd, Sitka, AK 99835-7101 | 9079669777 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| 301 Kenai St, Whittier Chc, Whittier, AK 99693 | 9074722303 | EASTERN ALEUTIAN TRIBES, INC. |
| 304 Keniai Main St, Whittier, AK 99693 | 9079892202 | EASTERN ALEUTIAN TRIBES, INC. |
| Organization Legal Name | EASTERN ALEUTIAN TRIBES, INC. |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Zimmerman | Physician Assistant | Eastern Aleutian Tribes, Inc. | 2105 Main St, Adak Chc, Adak, AK 99546 |
| Paul B Platz | Physician Assistant | Eastern Aleutian Tribes, Inc. | 65 Main St, Anna Livingston Memorial Clinic, Cold Bay, AK 99571 |
| Cameron A Spivey | Nurse Practitioner | Eastern Aleutian Tribes, Inc. | 172 Red Cove Rd, Sand Point, AK 99661-3949 |
| James F Deitle | Physician Assistant | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 |
| Judy Niell | Physician Assistant | Eastern Aleutian Tribes, Inc. | 113 Bering Sea Rd, Akutan, AK 99553 |
| Krysta Rose Carrick Byrnes | Nurse Practitioner | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 |
| Ruth S Alvarez | Physician Assistant | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove, AK 99612 |
| Jon B Christensen | Physician Assistant | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 |
| Rebecca A Biersbach | Nurse Practitioner | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 |
| Leslie E Landry | Physician Assistant | Eastern Aleutian Tribes, Inc. | 100 Slocum Dr, King Cove Chc, King Cove, AK 99612 |
| Street Address |
49 MAIN ST |
| City | FALSE PASS |
| State | AK |
| Zip | 99583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary T Harrington | Clinical Social Worker | 49 Main St, Suite 1, Irvington, NY 10533-1537 | |
| Scott P Deaton | Physician Assistant | Eastern Aleutian Tribes, Inc. | 49 Main St, Anna Hoblet Memorial Clinic, False Pass, AK 99583 |
| Troy D Wiles | Physician Assistant | Eastern Aleutian Tribes, Inc. | 49 Main St, Anna Hoblet Memorial Clinic, False Pass, AK 99583 |
| Catherine R Dudley | Physician Assistant | Eastern Aleutian Tribes, Inc. | 49 Main St, False Pass, AK 99583 |
| Eileen Owen-williams | Nurse Practitioner | Eastern Aleutian Tribes, Inc. | 49 Main St, False Pass, AK 99583 |
| Lorraine Grube | Physician Assistant | Eastern Aleutian Tribes, Inc. | 49 Main St, False Pass, AK 99583 |
| City | FALSE PASS |
| Zip Code | 99583 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FALSE PASS + PHYSICIAN ASSISTANT |
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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.