MEDICARE: CHUGACH ANESTHESIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician		AK

General Provider Information

NPI Number	:	1093712358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHUGACH ANESTHESIA, LLC

Provider Business Mailing Address
First Line	:	14700 28TH AVE N STE 20
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55447-4876
Country	:	US
Telephone Number	:	763-559-3779
Fax Number	:	763-450-3986

Provider Business Practice Location Address
First Line	:	4100 LAKE OTIS PKWY STE 222
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5230
Country	:	US
Telephone Number	:	907-550-6111
Fax Number	:	907-550-6326

Authorized Official
Title or Position	:	MEMBER MANAGER
Name	:	BRION J. BEERLE
Credential	:	MD
Telephone Number	:	907-550-6111

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	09/06/2023

Similar Medicare Providers

1205332541 — DR. CHRISTIAN CLAY MCCARTNEY MD
Practice Location Address:

4100 LAKE OTIS PKWY STE 220
ANCHORAGE, AK
99508-5230

Practice Phone: 907-563-3145
Practice Fax: 833-464-5196

1285677054 — ANCHORAGE FRACTURE AND ORTHOPAEDIC CLINIC, PC
Practice Location Address:

4100 LAKE OTIS PKWY STE 220
ANCHORAGE, AK
99508-5230

Practice Phone: 907-563-3145
Practice Fax: 907-561-3967

1003786161 — CYNTHIA NICHOLS
Practice Location Address:

4100 LAKE OTIS PKWY STE 220
ANCHORAGE, AK
99508-5230

Practice Phone: 907-563-3145
Practice Fax:

1093710717 — ALASKA SPINE CENTER, LLC
Practice Location Address:

4100 LAKE OTIS PKWY , SUITE 212
ANCHORAGE, AK
99508-5230

Practice Phone: 907-644-5500
Practice Fax: 907-644-5555

1952376022 — DOUGLAS PREVOST M.D.
Practice Location Address:

4100 LAKE OTIS PKWY STE 108
ANCHORAGE, AK
99508-5230

Practice Phone: 907-563-3145
Practice Fax: 833-464-5196

1336114388 — DOUG A VERMILLION MD
Practice Location Address:

4100 LAKE OTIS PKWY STE 220
ANCHORAGE, AK
99508-5230

Practice Phone: 907-563-3145
Practice Fax: 833-464-5196

Directions to “CHUGACH ANESTHESIA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.