Dr Charles Ted Paulk, MD | |
1245 Westgate Pkwy, Dothan, AL 36303 | |
(334) 793-9595 | |
(334) 793-1578 |
Full Name | Dr Charles Ted Paulk |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1245 Westgate Pkwy, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366429649 | NPI | - | NPPES |
000004912 | Medicaid | AL | |
000018990 | Medicaid | AL | |
051004912 | Other | AL | BLUE CROSS |
051018990 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6629 (Alabama) | Primary |
Entity Name | Houston County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Ted Paulk, MD 1245 Westgate Pkwy, Dothan, AL 36303 Ph: (334) 793-9595 | Dr Charles Ted Paulk, MD 1245 Westgate Pkwy, Dothan, AL 36303 Ph: (334) 793-9595 |
Sharoi Victoria Powell, CRNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Mill Creek Cir, Dothan, AL 36305 Phone: 334-648-8656 | |
Gaynel Barry Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1206 Columbia Hwy, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901 | |
Dr. James R Staheli, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Dr. Carlos Stanford Clark Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Doctors Drive, Dothan, AL 36301 Phone: 334-794-6612 Fax: 334-794-6614 | |
Dr. Jason Alan Zacks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Fairview Ave, Dothan, AL 36301 Phone: 334-678-1400 Fax: 334-678-1432 | |
Mr. Jackie Steve Sherrer Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Westgate Pkwy, Dothan, AL 36303 Phone: 334-793-2120 Fax: 334-671-0228 | |
J. Douglas Duke Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir Ste 2, Dothan, AL 36301 Phone: 334-305-2085 |