Jack W Anderson, MD | |
470 Taylor Rd, Montgomery, AL 36117-3563 | |
(334) 226-4048 | |
(334) 323-5675 |
Full Name | Jack W Anderson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 470 Taylor Rd, 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 |
---|---|---|---|
1811964000 | NPI | - | NPPES |
050071018 | Other | AL | MEDICARE RR |
510-45874 | Other | AL | BCBS |
214426 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD.16671 (Alabama) | Primary |
Entity Name | Ambulatory Anesthesia Associates Of Montgomery, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639130537 PECOS PAC ID: 8123921731 Enrollment ID: O20040130000528 |
Mailing Address | Practice Location Address |
---|---|
Jack W Anderson, MD 2151 Old Rocky Ridge Road, Suite 106, Birmingham, AL 35216-7251 Ph: (205) 989-1080 | Jack W Anderson, MD 470 Taylor Rd, Montgomery, AL 36117-3563 Ph: (334) 226-4048 |
Dr. Francis Boyette, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Dr. Nancy Haring, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Dr. Johnathon Quintrell Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Michael James Gormley, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Dr. Susan D. Kreher, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 | |
Dr. Jonathan Mac Varner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Ira Martin Kupferberg, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 |