Olga Iris Wasile, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4987 Issued in AK

Practice address

20905 Eastside Drive #1
Chugiak, AK 99567-1249

Phone

(907) 688-0901

Fax

(907) 688-0830

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Illinois Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Eagle River Medical ClinicGroup PAC ID 0345240214, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ancora Home Health & Hospice Home health agency, Wasilla, AK, CCN 027008
• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Eagle River Medical Clinic

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1033277041
  Medicare reassignment Care Compare group NPD
• Eagle River Primary Care

  • Medical Physician Assistant
  • Eagle River, AK
  • NPI 1235319450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043
  Care Compare affiliation
• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306952569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671249",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995671249",
            "telephone_number": "907-688-0901",
            "fax_number": "907-688-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 EASTSIDE DRIVE #1",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995671249",
            "telephone_number": "907-688-0901",
            "fax_number": "907-688-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILE",
        "first_name": "OLGA",
        "middle_name": "IRIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5767",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Health and Home LLC
• Jasmine Titcomb, OTR/L
• Chelsea Vadnais, OTR/L
• Sara Waltman
• Adam Nicholas Ward, MSW
• Patricia West
• Jessica Lynne White, D.P.T.
• Philip Joseph Bianco White, OTR/L
• Elizabeth Williams, RN
• Tyler Williams, OTR/L

• Family Medicine Physician in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.