Gustavo R Heudebert, MD | |
2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 | |
(334) 284-5211 | |
(334) 284-9020 |
Full Name | Gustavo R Heudebert |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2055 E South Blvd Ste 202, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225064298 | NPI | - | NPPES |
000025535 | Other | AL | BLUE CROSS |
110123736 | Other | AL | RAILROAD MEDICARE |
20604 | Other | AL | HEALTHSPRING OF ALABAMA |
000045092 | Medicaid | AL | |
000045092 | Other | AL | BLUE CROSS |
000025535 | Medicaid | AL | |
F07687 | Other | AL | VIVA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 19069 (Alabama) | Primary |
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 | University Of Alabama At Birmingham |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323 |
Entity Name | Jefferson Clinic, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124086509 PECOS PAC ID: 9133114804 Enrollment ID: O20040420001021 |
Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
Mailing Address | Practice Location Address |
---|---|
Gustavo R Heudebert, MD 2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 Ph: (334) 284-5211 | Gustavo R Heudebert, MD 2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 Ph: (334) 284-5211 |
Dr. Jack Parmer Evans, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 E South Blvd, Montgomery, AL 36116 Phone: 334-281-8008 Fax: 334-281-0090 | |
Dr. Shyam Padmanabhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 403, Montgomery, AL 36116 Phone: 334-613-0807 | |
Dr. April A Truett, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Vivian G Hamlett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 440 Taylor Rd, Suite 3200, Montgomery, AL 36117 Phone: 334-213-6281 Fax: 334-213-6288 | |
Monjurul Islam, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Mohammad-ehsan Owrangi, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St Ste 202, Montgomery, AL 36106 Phone: 412-359-3166 Fax: 412-359-8164 | |
Jacquelin Ratunil Chua, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1722 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 |