Dr Jere Michael Disney, MD | |
639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 | |
(985) 626-6133 | |
(985) 626-6136 |
Full Name | Dr Jere Michael Disney |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 639 Lotus Dr N, Mandeville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831293372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00023225 (Alabama) | Primary |
Entity Name | Paragon Contracting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | Island Medical Coosa Valley, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083948558 PECOS PAC ID: 1658413778 Enrollment ID: O20100127000486 |
Entity Name | App Of Alabama Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
Entity Name | Alabama Emergency Physician Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
Mailing Address | Practice Location Address |
---|---|
Dr Jere Michael Disney, MD 1294 Legacy Dr, Birmingham, AL 35242-6049 Ph: (205) 821-7470 | Dr Jere Michael Disney, MD 639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 Ph: (985) 626-6133 |
Dr. Michael Christian Glassinger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Suzanne Spencer Crater-craig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2810 E. Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Ahad Mussarat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Mulberry Ave, Mandeville, LA 70448 Phone: 985-351-3926 | |
Dr. Eulogio E Tan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Bruce Allen Groom, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. David Martin Lifshutz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 |