Individual
DR. TERRI LEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
135 BIDARKA ST, SUITE 101, KENAI, AK 99611-7741
(907) 335-0034
(907) 335-0064
Mailing address
135 BIDARKA ST, SUITE 101, KENAI, AK 99611-7741
(907) 335-0034
(907) 335-0064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AK4040
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152261
MEDICARE GROUP NUMBER
AK
01
—
152262
MEDICARE ID
AK
01
—
AK4040
STATE LICENSE
AK
05
—
MD6089
—
AK
Enumeration date
09/19/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us