Dr Nelson Gwinn Iii, MD | |
1150 Ross Clark Cir, Dothan, AL 36301-3022 | |
(334) 712-1929 | |
(334) 712-2799 |
Full Name | Dr Nelson Gwinn Iii |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 39 Years |
Location | 1150 Ross Clark Cir, Dothan, 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 |
---|---|---|---|
1922087071 | NPI | - | NPPES |
000088713 | Medicaid | AL | |
009941307 | Medicaid | AL | |
000055299 | Medicaid | AL | |
051088713 | Other | AL | BLUE CROSS |
051055299 | Other | AL | BLUE CROSS |
051538730 | Other | AL | BLUE CROSS |
61699 | Other | FL | BLUE CROSS |
529301110 | Medicaid | AL | |
258388700 | Medicaid | FL | |
631087996 | Other | TAX ID# | |
00459225B | Medicaid | GA | |
051540195 | Other | AL | BLUE CROSS |
054182600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 15644 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Medical Center Enterprise | Enterprise, AL | Hospital |
Jackson Hospital | Marianna, FL | Hospital |
Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Cardiology Clinic Inc. | 9234111899 | 9 |
Houston County Healthcare Authority | 9436062296 | 195 |
Southeast Cardiology Clinic Inc. | 9234111899 | 9 |
Donalsonville Hospital Inc | 7113919820 | 50 |
Southeast Cardiology Clinic Inc. | 9234111899 | 9 |
Entity Name | Houston County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Entity Name | Southeast Cardiology Clinic Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285790915 PECOS PAC ID: 9234111899 Enrollment ID: O20050621001149 |
Mailing Address | Practice Location Address |
---|---|
Dr Nelson Gwinn Iii, MD 1150 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 712-1929 | Dr Nelson Gwinn Iii, MD 1150 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 712-1929 |
Parks Winfield Pratt Iii, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Jeffrey John Crittenden, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 | |
Dr. Venkat R Nimmagadda, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1540 E Main St, Dothan, AL 36301 Phone: 334-793-2618 Fax: 334-792-7353 | |
Christopher O. Ike, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-340-2805 |