MAT-SU VALLEY III LLC – Internal Medicine Physician, NPI 1366752560
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MAT-SU VALLEY III LLC
2490 S Woodworth Loop Ste 250
Palmer, AK 996457407
Phone: (907) 861-6700
Type: Location
2480 S Woodworth Loop Ste 285
Palmer, AK 996457408
Phone: (907) 861-6117
Type: Location
2490 S Woodworth Loop Ste 200
Palmer, AK 996457410
Phone: (907) 861-6700
Fax: (907) 861-6705
Type: Location
2490 S Woodworth Loop Ste 301
Palmer, AK 996457407
Phone: (907) 746-7747
Fax: (907) 746-7740
Type: Location
950 E BOGARD RD
SUITE 207
WASILLA, AK 996547184
Phone: (907) 864-0260
Fax: (907) 864-0262
Type: Mailing
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7211
Fax: (615) 628-6877
Type: Mailing
2500 S WOODWORTH LOOP
PALMER, AK 996458984
Phone: (907) 861-6565
Fax: (907) 861-6568
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-30
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99645)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.