Megan Marie Doxtator, | |
1502 11th Ave, Phenix City, AL 36867-4905 | |
(334) 560-5393 | |
(334) 560-5242 |
Full Name | Megan Marie Doxtator |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1502 11th Ave, Phenix City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447809561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4306C (Alabama) | Primary |
Entity Name | Ccp Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396431714 PECOS PAC ID: 7214394022 Enrollment ID: O20230609002780 |
Mailing Address | Practice Location Address |
---|---|
Megan Marie Doxtator, Po Box 97, Gadsden, AL 35902-0097 Ph: (256) 492-0131 | Megan Marie Doxtator, 1502 11th Ave, Phenix City, AL 36867-4905 Ph: (334) 560-5393 |
Mr. Kurt M Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1606 Broad St, Phenix City, AL 36867 Phone: 334-480-8888 | |
Elizabeth Parks, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 146 Lee Road 2144, Phenix City, AL 36870 Phone: 706-392-3033 | |
Erica Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 11th Ave, Phenix City, AL 36867 Phone: 334-560-5393 | |
Gabrielle Krystyna Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5295 Riverchase Dr Apt 1508, Phenix City, AL 36867 Phone: 229-942-9159 | |
Nga Nguyen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1701 37th St, Phenix City, AL 36867 Phone: 703-244-5108 | |
Mr. Eric Graves Sr., LICSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2809 Creekstone Ln, Phenix City, AL 36867 Phone: 706-442-5270 |