Jeffrey J Ickler, MD | |
1700 Spring Hill Ave, Ste 400, Mobile, AL 36604-1407 | |
(251) 438-4440 | |
(251) 438-4599 |
Full Name | Jeffrey J Ickler |
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Gender | Male |
Speciality | Surgery |
Location | 1700 Spring Hill Ave, Mobile, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477656528 | NPI | - | NPPES |
009998120 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 00022258 (Alabama) | Primary |
Entity Name | Southeastern Surgical Specialist, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538243951 PECOS PAC ID: 4183600554 Enrollment ID: O20040625001105 |
Entity Name | Regenerative Medicine Of South Alabama Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922641406 PECOS PAC ID: 9537589056 Enrollment ID: O20201021001374 |
Mailing Address | Practice Location Address |
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Jeffrey J Ickler, MD 1700 Spring Hill Ave, Ste 400, Mobile, AL 36604-1407 Ph: (251) 438-4440 | Jeffrey J Ickler, MD 1700 Spring Hill Ave, Ste 400, Mobile, AL 36604-1407 Ph: (251) 438-4440 |
Dr. Leonard Steve Weinstein, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Mobile Infirmary Cir, Suite 212, Mobile, AL 36607 Phone: 251-433-2609 Fax: 251-438-9607 | |
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 1700 Center St, Mobile, AL 36604 Phone: 251-415-1000 Fax: 251-415-1001 | |
Michael V Do, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 | |
Caroline Elizabeth Mcgugin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Mobile Infirmary Cir Ste 305, Mobile, AL 36607 Phone: 251-435-5557 Fax: 251-435-5558 | |
Ralph B Pfeiffer Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-432-0558 Fax: 251-432-0554 | |
Lee Walton Thompson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Mobile Infirmary Cir, Suite 305, Mobile, AL 36607 Phone: 251-433-5557 Fax: 251-433-5558 | |
Dr. Daniel C Burch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3715 Dauphin St Ste 7a, Mobile, AL 36608 Phone: 251-460-5461 |