Dr Jose Antonio Lopez-lago, MD | |
1015 Medical Center Pkwy, Selma, AL 36701-6748 | |
(706) 582-2393 | |
Not Available |
Full Name | Dr Jose Antonio Lopez-lago |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1015 Medical Center Pkwy, Selma, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861440950 | NPI | - | NPPES |
051556701 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00013180 (Alabama) | Primary |
Entity Name | Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | J Paul Jones Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477520526 PECOS PAC ID: 8224099072 Enrollment ID: O20090713000602 |
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 | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120612000674 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Antonio Lopez-lago, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Jose Antonio Lopez-lago, MD 1015 Medical Center Pkwy, Selma, AL 36701-6748 Ph: (706) 582-2393 |
Tessa Fain, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-4100 | |
Phillip Hicks, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 800-893-9698 | |
Dr. Cesar Arthro Ravelo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-270-9793 | |
Dr. Sean Brian Bohannon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Vaughan Memorial Dr, Selma, AL 36701 Phone: 334-375-8007 Fax: 334-526-1849 |