Bethel Family Clinic
A Medicare group practice based in Bethel, AK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719876416), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7719876416
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- AK
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040311000904 | AK | Part B Supplier - Clinic/Group Practice | 1124078019 |
| O20070817000095 | AK | Part A Provider - Federally Qualified Health Center (FQHC) | 1124078019 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bethel Family Clinic
- Federally Qualified Health Center (FQHC)
- Bethel, AK
- NPI 1124078019
-
Bethel Family Clinic
- Federally Qualified Health Center (FQHC)
- Bethel, AK
- NPI 1891279097
Practice locations
- Bethel, AK2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).
-
Jonvanni Bongolan
- Family Nurse Practitioner
- La Jolla, CA
- NPI 1124335807
-
Melissa Norma Cockrell, APRN, NP-C
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1093037731
-
Marissa D Cortes Mendez, CNM, CNP
- Family Nurse Practitioner
- Santa Fe, NM
- NPI 1700330560
-
Debra L Cyphert, MSN, FNP-BC
- Family Nurse Practitioner
- Bethel, AK
- NPI 1982601498
-
Linda Louise Pietz, FNP
- Nurse Practitioner
- Fayetteville, NC
- NPI 1841612678
-
Richard Robb, LPC
- Professional Counselor
- Bethel, AK
- NPI 1649492216
-
Cormac Arthur Sookram, M.D.
- Family Medicine Physician
- Bethel, AK
- NPI 1437491107
-
Jennifer Wyrick, DNP, FNP-C
- Nurse Practitioner
- Granger, WA
- NPI 1831663905
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.