Craig Dean Omohundro, MD | |
4300 W Main St, Suite 102, Dothan, AL 36305-1054 | |
(334) 793-9564 | |
(334) 671-8907 |
Full Name | Craig Dean Omohundro |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 31 Years |
Location | 4300 W Main St, 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 |
---|---|---|---|
1457346850 | NPI | - | NPPES |
255070900 | Medicaid | FL | |
00749185A | Medicaid | GA | |
000032376 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 20605 (Alabama) | Primary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 20605 (Alabama) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliated Dermatology, Pc | 2163401332 | 4 |
Entity Name | Affiliated Dermatology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124008636 PECOS PAC ID: 2163401332 Enrollment ID: O20040720000685 |
Mailing Address | Practice Location Address |
---|---|
Craig Dean Omohundro, MD 4300 W Main St, Suite 102, Dothan, AL 36305-1054 Ph: (334) 793-9564 | Craig Dean Omohundro, MD 4300 W Main St, Suite 102, Dothan, AL 36305-1054 Ph: (334) 793-9564 |
Dr. Jeffrey B Stricker, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 106 Westside Dr, Dothan, AL 36303 Phone: 877-231-3376 Fax: 850-522-8354 | |
Leonard Terry Pynes, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2431 W Main St, Ste 501, Dothan, AL 36301 Phone: 334-793-9222 Fax: 334-671-0322 | |
Alan Cleveland Turnham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2571 Ross Clark Circle Sw, Dothan, AL 36301 Phone: 334-793-2995 Fax: 334-671-2995 | |
Tonia L Ruddock, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Medical Dr, Dothan, AL 36303 Phone: 334-828-7546 Fax: 334-828-7547 | |
Laura M Tamburin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 107 Medical Dr, Dothan, AL 36303 Phone: 334-828-7546 Fax: 334-828-7547 | |
Carole Lea Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1733 W Main St Ste 200, Dothan, AL 36301 Phone: 334-677-1690 Fax: 334-699-1465 |