Clinton Taylor Kilcrease, MD | |
1704 S Forest Ave, Luverne, AL 36049-7306 | |
(334) 335-3383 | |
(334) 335-3078 |
Full Name | Clinton Taylor Kilcrease |
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Gender | Male |
Speciality | Family Medicine |
Location | 1704 S Forest Ave, Luverne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003420464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.43478 (Alabama) | Primary |
Entity Name | Family Practice Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255364246 PECOS PAC ID: 0840295192 Enrollment ID: O20060920000475 |
Mailing Address | Practice Location Address |
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Clinton Taylor Kilcrease, MD 1704 S Forest Ave, Luverne, AL 36049-7306 Ph: (334) 335-3383 | Clinton Taylor Kilcrease, MD 1704 S Forest Ave, Luverne, AL 36049-7306 Ph: (334) 335-3383 |
Mrs. Anna Leigh Kilcrease, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 58 Roy Beall Dr, Luverne, AL 36049 Phone: 334-335-1212 | |
Macy Williamson, CRNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1704 S Forest Ave, Luverne, AL 36049 Phone: 334-335-3383 Fax: 334-335-3078 | |
Dr. Charles S Tompkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1704 S Forest Ave, Luverne, AL 36049 Phone: 334-335-3383 Fax: 334-335-3078 |