Dr Leslie David Perry, MD | |
4700 Woodmere Blvd., Montgomery, AL 36106 | |
(334) 273-9700 | |
(334) 273-9788 |
Full Name | Dr Leslie David Perry |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4700 Woodmere Blvd., 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 |
---|---|---|---|
1699769083 | NPI | - | NPPES |
4095192 | Other | TN | BCBS |
Q007873 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MO29166 (Tennessee) | Secondary |
208000000X | Pediatrics | 19198 (Alabama) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslie David Perry, MD 4700 Woodmere Blvd., Montgomery, AL 36106 Ph: (334) 273-9700 | Dr Leslie David Perry, MD 4700 Woodmere Blvd., Montgomery, AL 36106 Ph: (334) 273-9700 |
Abdulsattar Zidan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1845 Cherry St, Montgomery, AL 36107 Phone: 334-420-5001 Fax: 334-420-0158 | |
Dr. Karen Eaton Doles, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 210, Montgomery, AL 36117 Phone: 334-293-5033 Fax: 334-293-5024 | |
Dr. Kendra Joy Gillis Colvin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd, Suite 210, Montgomery, AL 36117 Phone: 334-293-5020 Fax: 334-293-5024 | |
Gillis L Payne Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7006 Fulton Ct, Montgomery, AL 36117 Phone: 334-244-7209 Fax: 334-244-6604 | |
Mine Oya Ozkazanc, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Twining St, Bldg 760, Montgomery, AL 36112 Phone: 333-495-3926 Fax: 334-953-8607 | |
Dr. David Wayne Drennen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4154 Carmichael Rd, Montgomery, AL 36106 Phone: 334-271-5959 Fax: 334-272-8775 | |
Dr. Olivia Caridad Garcia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd, Suite 210, Montgomery, AL 36117 Phone: 334-293-5033 Fax: 334-293-5024 |