Brett Lee Storm, MD | |
1900 Fairview Ave, Dothan, AL 36301-3008 | |
(334) 793-9511 | |
(334) 794-0721 |
Full Name | Brett Lee Storm |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 37 Years |
Location | 1900 Fairview Ave, Dothan, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326021973 | NPI | - | NPPES |
000532199F | Medicaid | GA | |
009941386 | Medicaid | AL | |
009934243 | Medicaid | AL | |
370595101 | Medicaid | FL | |
009934244 | Medicaid | AL | |
009934246 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 26961 (Alabama) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 26961 (Alabama) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Flowers Hospital | Dothan, AL | Hospital |
Medical Center Barbour | Eufaula, AL | Hospital |
Medical Center Enterprise | Enterprise, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of Dothan Pc | 2163465147 | 16 |
Entity Name | Radiology Associates Of Dothan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083697718 PECOS PAC ID: 2163465147 Enrollment ID: O20050610000108 |
Mailing Address | Practice Location Address |
---|---|
Brett Lee Storm, MD 2015 Alexander Dr, Dothan, AL 36301-3003 Ph: (334) 671-1696 | Brett Lee Storm, MD 1900 Fairview Ave, Dothan, AL 36301-3008 Ph: (334) 793-9511 |
Eric C Lund, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Sibley N Turner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-6412 | |
Elizabeth Parker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 | |
George W Veale, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Dr. Darrel Alexander Ceballos, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-6412 | |
Julia A Alexander, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Ricardo Syklawer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 |