Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Gannett, MD

Individual provider Pediatrics Physician · NPI 1750356747

Dr. Mary Gannett, MD is a Pediatric Medicine in Fairbanks, Alaska. Graduated from University of Washington School of Medicine in 1992, 34 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
34
Trained at
University of Washington School of Medicine
Licensed in
AK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Noble St
Fairbanks, AK 99701-4922
Phone: (907) 459-3520
Fax: (907) 459-3554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4081 (AK)

Record details

NPI number1750356747
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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