Dr John Grant Wideman, MD | |
1800 Al Highway 157 Ste 302, Cullman, AL 35058-1273 | |
(256) 736-6224 | |
(256) 736-6226 |
Full Name | Dr John Grant Wideman |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 29 Years |
Location | 1800 Al Highway 157 Ste 302, Cullman, 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 |
---|---|---|---|
1336255728 | NPI | - | NPPES |
117937 | Medicaid | AL | |
118948 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 22380 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cullman Regional Medical Center | Cullman, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crmc Medical Group Llc | 8729419874 | 62 |
Entity Name | Obhg Alabama, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881976520 PECOS PAC ID: 0547545923 Enrollment ID: O20170327002294 |
Entity Name | Crmc Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467083675 PECOS PAC ID: 8729419874 Enrollment ID: O20200506000409 |
Mailing Address | Practice Location Address |
---|---|
Dr John Grant Wideman, MD 503 Clark St Ne, Cullman, AL 35055-1921 Ph: (256) 739-0801 | Dr John Grant Wideman, MD 1800 Al Highway 157 Ste 302, Cullman, AL 35058-1273 Ph: (256) 736-6224 |
Randy James Yarbrough, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157 Ste 330, Cullman, AL 35058 Phone: 256-735-5277 Fax: 256-203-8626 | |
Brittany T Massengill, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157 Ste 330, Cullman, AL 35058 Phone: 256-735-5277 Fax: 256-203-8626 | |
Shane Lee Sheffield, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1800 Al Highway 157 Ste 302, Cullman, AL 35058 Phone: 256-736-6224 Fax: 256-736-6226 | |
Dr. Howard F. Williamson Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1800 Al Hwy 157, Ste 302, Cullman, AL 35058 Phone: 256-736-6224 Fax: 256-736-6226 | |
Virgil Thomas Baccus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1890 Al Hwy 157, Suite 220, Cullman, AL 35058 Phone: 256-739-2626 Fax: 256-739-6588 | |
Dr. Perry Lance Justice, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157, Cullman, AL 35058 Phone: 256-735-5125 Fax: 256-962-5446 |