Jacek Mysior
Medical Specialty
Professional ID
- NPI: 1811206246
- PECOS ID: 1456626282
- Enrollment ID: I20171004003066
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 020026
- Business Name (LBN)1: Alaska Native Medical Center
- Hospital CCN2: 070010
- Business Name (LBN)2: Bridgeport Hospital
Medical Practices
- Organization Name: Alaska Native Tribal Health Consortium
- Group Practice ID assigned by PECOS: 6709780265
- Number of Group Practice member: 432
Location
- Address1: 4315 Diplomacy Dr
- Address2:
- City: Anchorage
- State: Alaska
- Zip Code: 99508
- Phone Number: (907)563-2662
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):