Dr Nathan Daniel Shepard, MD | |
2152 Old Springville Rd, Birmingham, AL 35215-4005 | |
(205) 838-6000 | |
(205) 838-6999 |
Full Name | Dr Nathan Daniel Shepard |
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Gender | Male |
Speciality | Family Medicine |
Location | 2152 Old Springville Rd, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972778892 | NPI | - | NPPES |
36873721 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.28475 (Alabama) | Primary |
207Q00000X | Family Medicine | 47932 (Colorado) | Secondary |
207Q00000X | Family Medicine | 6934 (Alaska) | Secondary |
Entity Name | Oak Mountain Group Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366840761 PECOS PAC ID: 3678886256 Enrollment ID: O20150727000323 |
Mailing Address | Practice Location Address |
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Dr Nathan Daniel Shepard, MD 2152 Old Springville Rd, Birmingham, AL 35215-4005 Ph: (205) 838-6000 | Dr Nathan Daniel Shepard, MD 2152 Old Springville Rd, Birmingham, AL 35215-4005 Ph: (205) 838-6000 |
Jill Marsh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Jack Cannon Whites, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 616 South 9th Street, Birmingham, AL 35233 Phone: 205-326-3100 Fax: 205-716-3044 | |
Dr. Kathryn D Kartus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3900 Seven Bark Cir, Birmingham, AL 35243 Phone: 205-967-6676 | |
Melissa Jane Puntkattalee, Family Medicine Medicare: Medicare Enrolled Practice Location: 5720 1st Ave S, Birmingham, AL 35212 Phone: 205-380-9455 Fax: 205-380-9459 | |
Dr. Nova Law, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 944 18th St S, Suite C, Birmingham, AL 35205 Phone: 205-870-4343 Fax: 205-870-0299 | |
Sarah Kane, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211 Phone: 205-679-6325 Fax: 205-783-8600 | |
John Joseph Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5577 Chalkville Rd, Birmingham, AL 35235 Phone: 205-853-3533 Fax: 205-856-3808 |