Mark Victor Restad, PA-C
Individual provider Active NPI Physician Assistant · Kenai, AK
NPI 1114145174 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1114145174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 344 (AK)
- Practice address
- 11472 Kenai Spur Hwy
Suite #2
Kenai, AK 99611-7756 - Phone
- (907) 283-6030
- Fax
- (907) 283-3194
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Redoubt Medical Group LLC.
Anchorage Sleep Center LLC
Practice addresses (Care Compare)
130 S Willow St
Suite 1
Kenai, AK 99611-9107
Phone (907) 283-6030
323 W Danview Ave
Homer, AK 99603-7028
Phone (907) 235-7000
510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 743-0050
Hospital & facility affiliations
- Kenai Peninsula Home Health, LLC
- South Peninsula Hospital HHA
- Central Peninsula General Hospital
- South Peninsula Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.2 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110811000844 | AK | Practitioner - Physician Assistant | 6406025287 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | AK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center | Current |
Accepting new patients | |
| Kenneth S Hahn | Past | Accepting new patients |
Locations
510 W Tudor Rd
Ste 5
Anchorage, AK 99503
Phone (907) 743-0050
323 W Danview Ave
Ste 201
Homer, AK 99603
Phone (907) 235-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 344 | AK | Yes |
Addresses
Primary practice location
11472 Kenai Spur Hwy
Suite #2
Kenai, AK 99611-7756
Mailing address
11472 Kenai Spur Hwy
Suite #2
Kenai, AK 99611-7756
Phone (907) 283-6030
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.