Dr Athena Nga Phan, MD | |
202 Mitylene Park Dr, Montgomery, AL 36117-3548 | |
(205) 801-8378 | |
(334) 273-7837 |
Full Name | Dr Athena Nga Phan |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 38 Years |
Location | 202 Mitylene Park Dr, Montgomery, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386793925 | NPI | - | NPPES |
51033969 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 20145 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Alabama Health Services Foundation, Pc | 1951213107 | 2328 |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Entity Name | Aesthetic Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164748117 PECOS PAC ID: 5597958645 Enrollment ID: O20101021000050 |
Mailing Address | Practice Location Address |
---|---|
Dr Athena Nga Phan, MD 202 Mitylene Park Dr, Montgomery, AL 36117-3548 Ph: (334) 273-1122 | Dr Athena Nga Phan, MD 202 Mitylene Park Dr, Montgomery, AL 36117-3548 Ph: (205) 801-8378 |
Dr. James Donald Smith Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1722 Pine St, Ste 408, Montgomery, AL 36106 Phone: 205-977-9876 | |
Elizabeth Ann Mountcastle, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 286 Mitylene Park Dr, Montgomery, AL 36117 Phone: 334-396-1555 Fax: 334-396-9833 | |
Dr. John Lee Anthony, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4712 Berry Blvd, Montgomery, AL 36106 Phone: 334-834-3094 Fax: 334-263-0598 | |
Porcia Bradford Love, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4712 Berry Blvd, Montgomery, AL 36106 Phone: 334-834-3094 Fax: 334-263-0598 | |
James Stephen Maddox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 286 Mitylene Park Dr, Montgomery, AL 36117 Phone: 334-396-1555 Fax: 334-396-9833 | |
Katherine Jane Bodiford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7260 Halcyon Summit Dr, Montgomery, AL 36117 Phone: 334-277-3332 |