James Stephen Maddox, MD | |
286 Mitylene Park Dr, Montgomery, AL 36117-3548 | |
(334) 396-1555 | |
(334) 396-9833 |
Full Name | James Stephen Maddox |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 45 Years |
Location | 286 Mitylene Park Dr, Montgomery, 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 |
---|---|---|---|
1720188196 | NPI | - | NPPES |
631066099 | Other | AL | FED TAX # |
528501290 | Medicaid | AL | |
510-11674 | Other | AL | BLUE CROSS |
511-30219 | Other | AL | BCBS |
CM4358 | Other | AL | RR MCR |
45-3970660 | Other | FED TAX # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 10825 (Alabama) | Primary |
207N00000X | Dermatology | N5894 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center East | Montgomery, AL | Hospital |
Baptist Medical Center South | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology Of Alabama, Inc. | 2466866355 | 5 |
Entity Name | Dermatology Associates Of Montgomery,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891064937 PECOS PAC ID: 9335390681 Enrollment ID: O20121113000716 |
Entity Name | Advanced Dermatology Of Alabama, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538773775 PECOS PAC ID: 2466866355 Enrollment ID: O20210204002577 |
Mailing Address | Practice Location Address |
---|---|
James Stephen Maddox, MD Po Box 241627, Montgomery, AL 36124-1627 Ph: (334) 396-1555 | James Stephen Maddox, MD 286 Mitylene Park Dr, Montgomery, AL 36117-3548 Ph: (334) 396-1555 |
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 | |
Dr. Athena Nga Phan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 202 Mitylene Park Dr, Montgomery, AL 36117 Phone: 205-801-8378 Fax: 334-273-7837 | |
Katherine Jane Bodiford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7260 Halcyon Summit Dr, Montgomery, AL 36117 Phone: 334-277-3332 |