Medical Equipment Distributors of Alaska, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

704413 Issued in AK

Legal business name

MEDICAL EQUIPMENT DISTRIBUTORS OF ALASKA, INC.

Doing business as

MEDAK, Inc.

Practice address

3650 Lake Otis Pkwy Ste 202
Anchorage, AK 99508-5219

Phone

(907) 569-0004

Fax

(866) 519-8319

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Christina Mascelli

Title

Vice President

Phone

(907) 569-0004

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDAK, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1467559575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085219",
            "telephone_number": "907-569-0004",
            "fax_number": "866-519-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085219",
            "telephone_number": "907-569-0004",
            "fax_number": "866-519-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT DISTRIBUTORS OF ALASKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "MASCELLI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "907-569-0004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "704413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS4031",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021798",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDAK, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Meaux, PTA
• Emily Patricia Mechtenberg, LPC
• Alexander Medeiros, RN
• Medevac Alaska LLC
• Medevac Alaska LLC
• Medical Network of Alaska, LLC (Alaska Advanced Dermatology)
• Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
• Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
• Medical Network of Alaska, LLC (Resound ENT)
• Medical Park Family Care, LLC

• Durable Medical Equipment & Medical Supplies in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.