Dr John Gayle Van Derwood, MD | |
7101 Us Highway 90, Suite 202, Daphne, AL 36526-9512 | |
(251) 625-8211 | |
(251) 625-8219 |
Full Name | Dr John Gayle Van Derwood |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 7101 Us Highway 90, Daphne, 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 |
---|---|---|---|
1205949013 | NPI | - | NPPES |
510-04616 | Other | AL | BLUE CROSS OF AL |
051558401 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14230 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 11539 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Hospital | Fairhope, AL | Hospital |
Mobile Infirmary Medical Center | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imc-diagnostic And Medical Clinic Llc | 2860399623 | 135 |
Entity Name | Imc-diagnostic And Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577 |
Mailing Address | Practice Location Address |
---|---|
Dr John Gayle Van Derwood, MD 7101 Us Highway 90, Suite 202, Daphne, AL 36526-9512 Ph: (251) 625-8211 | Dr John Gayle Van Derwood, MD 7101 Us Highway 90, Suite 202, Daphne, AL 36526-9512 Ph: (251) 625-8211 |
Dr. Andrew Augustus Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27961 Highway 98, Ste 14, Daphne, AL 36526 Phone: 251-626-1175 Fax: 251-625-1507 | |
John Andrew Harcourt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
Dr. Cynthia Sue Harbaugh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6631 Park Dr, Daphne, AL 36526 Phone: 251-626-5700 Fax: 251-626-5703 | |
David Andrew Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27961 Us Highway 98, Suite 14, Daphne, AL 36526 Phone: 251-626-1175 Fax: 251-591-4145 | |
Dr. Katherine M Thomas, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6475 Van Buren Street, Covenant Hospice, Daphne, AL 36526 Phone: 251-626-5255 Fax: 251-626-5922 | |
Gordon Spafford, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27961 Us Highway 98, Suite 20, Daphne, AL 36526 Phone: 251-621-6520 Fax: 251-621-6521 |