Dr Dennis John Basila, MD | |
23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | |
(256) 999-0808 | |
(844) 490-5876 |
Full Name | Dr Dennis John Basila |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 23800 John T Reid Pkwy, Scottsboro, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558536979 | NPI | - | NPPES |
212646 | Medicaid | AL | |
03171226 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 244921-1 (New York) | Secondary |
208000000X | Pediatrics | 36720 (Alabama) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Mailing Address | Practice Location Address |
---|---|
Dr Dennis John Basila, MD 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 Ph: (256) 999-0808 | Dr Dennis John Basila, MD 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 Ph: (256) 999-0808 |
Muhammad Amjad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1508 S Broad St Ste 300, Scottsboro, AL 35768 Phone: 256-259-3600 Fax: 256-259-3601 | |
Dr. Benjamin Freeman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Jonathan Wallace Gurr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23800 John T. Reid Pkwy, Scottsboro, AL 35769 Phone: 256-997-5900 Fax: 256-997-5995 | |
Dr. Bradley Daily Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Dr. Ethan Baruch Ruben, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 508 Harley St, Suite C, Scottsboro, AL 35768 Phone: 256-259-5537 Fax: 256-259-3189 | |
Dr. Olivia Elliott Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 |