Mr Jeffrey Scott Plagenhoef, MD | |
1108 Ross Clark Circle, Dothan, AL 36301 | |
(334) 793-5105 | |
Not Available |
Full Name | Mr Jeffrey Scott Plagenhoef |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1108 Ross Clark Circle, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548249410 | NPI | - | NPPES |
000083661 | Medicaid | AL | |
00456299A | Medicaid | GA | |
51083661 | Other | AL | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | Q5069 (Texas) | Primary |
Entity Name | Southern Alabama Surgery Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
Mailing Address | Practice Location Address |
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Mr Jeffrey Scott Plagenhoef, MD 1118 Ross Clark Circle, Ste 700 Anesthesia Consultants Medical Group Pc, Dothan, AL 36301 Ph: (334) 793-5105 | Mr Jeffrey Scott Plagenhoef, MD 1108 Ross Clark Circle, Dothan, AL 36301 Ph: (334) 793-5105 |
David Tyler Warren, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Kyle Morris Jones, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Stephen L Hughes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Anesthesia Dept, Dothan, AL 36305 Phone: 334-794-5000 | |
Dr. Steven H Sykes, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Circle, Ste 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Jeremy Bernard Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Dr. Jeffrey S Graham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Matthew T Jennings, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 |