MEDICARE: MERLIN R. HAMRE M.D.

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	2080P0207X	Pediatric Hematology & Oncology Physician	4301067128	MI
2	2080P0207X	Pediatric Hematology & Oncology Physician	6481	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	700H262280	OTHER	BLUE CROSS-BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MH067128	OTHER	COMMERCIAL-COMMERCIAL NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MH067128	OTHER	CHAMPUS-CHAMPUS

General Provider Information

NPI Number	:	1841237740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLIN R. HAMRE M.D.

Provider Business Mailing Address
First Line	:	3760 PIPER ST
Second Line	:	SUITE 1060
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4665
Country	:	US
Telephone Number	:	907-212-6522
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 PROVIDENCE DR
Second Line	:	SUITE 351
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4691
Country	:	US
Telephone Number	:	907-212-4824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	02/11/2013

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Directions to “ MERLIN R. HAMRE M.D.” Practice Location

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