Jeremy Keon Prince, DO | |
15243 Greenfield Dr Ste A, Athens, AL 35613-2899 | |
(256) 262-5700 | |
(256) 262-5710 |
Full Name | Jeremy Keon Prince |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 15243 Greenfield Dr Ste A, Athens, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629692769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PRIN-CYGCZT (Mississippi) | Secondary |
207Q00000X | Family Medicine | DO.3309 (Alabama) | Primary |
Entity Name | Limestone Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295419901 PECOS PAC ID: 7012378219 Enrollment ID: O20230803004641 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Keon Prince, DO 533 Mlk Rd, Aliceville, AL 35442 Ph: (256) 225-1339 | Jeremy Keon Prince, DO 15243 Greenfield Dr Ste A, Athens, AL 35613-2899 Ph: (256) 262-5700 |
Dr. Andrea Pittman Dunn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22454 Us Highway 72 Ste 310, Athens, AL 35613 Phone: 256-216-9744 Fax: 256-216-9754 | |
Binod Bista, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 W Washington St, Athens, AL 35611 Phone: 256-216-9777 | |
Dr. Christopher Bunyan Cole, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1005 W Market St, Suite B, Athens, AL 35611 Phone: 256-230-3061 Fax: 256-230-3009 | |
Wendell K Shannon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Hobbs St, Athens, AL 35611 Phone: 256-216-9777 Fax: 256-216-9776 | |
Melissa C Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 W Market St Ste B, Athens, AL 35611 Phone: 256-998-5006 | |
Dr. Belinda Maples, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611 Phone: 256-232-0636 Fax: 256-232-1058 | |
Phillip R Ingram Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 W Washington St, Athens, AL 35611 Phone: 256-216-9777 |