Mark D Herron, MD | |
7260 Halcyon Summit Dr, Montgomery, AL 36117-7047 | |
(334) 277-3332 | |
(334) 277-3522 |
Full Name | Mark D Herron |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 28 Years |
Location | 7260 Halcyon Summit 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 |
---|---|---|---|
1942271812 | NPI | - | NPPES |
529923240 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 21157 (Alabama) | Primary |
207NP0225X | Dermatology - Pediatric Dermatology | 21157 (Alabama) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Elmore Community Hospital | Wetumpka, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mark D. Herron, M.d. L.l.c. | 9234179128 | 2 |
Entity Name | Mark D. Herron, M.d. L.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104897073 PECOS PAC ID: 9234179128 Enrollment ID: O20050510000914 |
Mailing Address | Practice Location Address |
---|---|
Mark D Herron, MD 7260 Halcyon Summit Dr, Montgomery, AL 36117-7047 Ph: (334) 277-3332 | Mark D Herron, MD 7260 Halcyon Summit Dr, Montgomery, AL 36117-7047 Ph: (334) 277-3332 |
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 | |
James Stephen Maddox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 286 Mitylene Park Dr, Montgomery, AL 36117 Phone: 334-396-1555 Fax: 334-396-9833 | |
Katherine Jane Bodiford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7260 Halcyon Summit Dr, Montgomery, AL 36117 Phone: 334-277-3332 |