Kira Bendixen, DO
Individual provider Active NPI Family Medicine Physician · Dillingham, AK
NPI 1821401423 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1821401423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 135348 (AK)
- Practice address
- 6000 Kanakanak Rd
Dillingham, AK 99576-0130 - Phone
- (907) 842-5201
- Fax
- (907) 842-9250
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bristol Bay Area Health Corporation
Seldovia Village Tribe
Practice addresses (Care Compare)
6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201
880 E End Rd
Homer, AK 99603-7201
Phone (907) 226-2228
P O Box
Dillingham, AK 99576-0130
PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201
Hospital & facility affiliations
- South Peninsula Hospital
- Bristol Bay Dba Kanakanak Hospital
- Central Peninsula General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, WA, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181210002844 | TX | Practitioner - Family Practice | 2062733850 | Reassigns benefits to 2 organizations |
| I20210407002572 | WA | Practitioner - Family Practice |
2062733850 | Reassigns benefits to 1 organization |
| I20221130002295 | AK | Practitioner - Family Practice | 2062733850 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135348 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Seldovia Village Tribe | Current |
Accepting new patients | |
| South Peninsula Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| South Peninsula Hospital, Inc | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Past | Accepting new patients | |
| Bristol Bay Area Health Corporation | Past | Accepting new patients | |
| South Peninsula Hospital, Inc | Past | Accepting new patients |
Locations
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
880 East End Rd
Homer, AK 99603
Phone (907) 226-2228
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
521 S K St
Tacoma, WA 98405
Phone (253) 403-2900
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Family Medicine Physician | 207Q00000X | 135348 | AK | Yes |
Addresses
Primary practice location
6000 Kanakanak Rd
Dillingham, AK 99576-0130
Mailing address
PO Box 130
Dillingham, AK 99576-0130
Phone (907) 842-9218
Other practice location 1
2209 E 32nd St
Tacoma, WA 98404-4922
Phone (253) 593-0203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1631635 | Medicaid | AK |
Other providers in Dillingham, AK
- Chiara Bagley
- Darrel Lee Bakk
- Olivia Christine Barrow
- Sanora Bell
- Johanna Belleque
- Stephanie Benner
- Jennifer Bennis
- Kate Berkoski
- Leigh Ann Bolin
- Melissa Bolt
All providers in Dillingham, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. 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.