Andrew Pope Terry, MD | |
3701 Dauphin St, Mobile, AL 36608-1756 | |
(251) 341-3368 | |
(251) 341-3371 |
Full Name | Andrew Pope Terry |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3701 Dauphin St, Mobile, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154316321 | NPI | - | NPPES |
000034531 | Medicaid | AL | |
51034531 | Other | AL | BLUE CROSS PROVIDER # |
B64295 | Other | AL | HEALTHSPRING PROVIDER # |
0810149 | Other | AL | UNITED HEALTHCARE PROV. # |
4113072 | Other | AL | AETNA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 11622 (Alabama) | Secondary |
207W00000X | Ophthalmology | 11622 (Alabama) | Primary |
Entity Name | Premier Health Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538154760 PECOS PAC ID: 6608869342 Enrollment ID: O20040407000654 |
Mailing Address | Practice Location Address |
---|---|
Andrew Pope Terry, MD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 | Andrew Pope Terry, MD 3701 Dauphin St, Mobile, AL 36608-1756 Ph: (251) 341-3368 |
Jeffrey St. John, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 601 Providence Park Dr E, Mobile, AL 36695 Phone: 251-650-2020 Fax: 251-650-1010 | |
Rollins Lynne Tindell Jr., M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Richard Joseph Duffey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Valerie Lanette Vick, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Mark Scott Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6576 Airport Blvd Ste B200, Mobile, AL 36608 Phone: 251-650-5437 Fax: 800-689-2131 | |
Matthew Wooley Mosteller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 |