Mr Pedro Dejesus Polanco, MD | |
725 East Coy Smith Highway, Mt Vernon, AL 36560 | |
(251) 662-6700 | |
(251) 829-5385 |
Full Name | Mr Pedro Dejesus Polanco |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 725 East Coy Smith Highway, Mt Vernon, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972511855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | L2714 (Alabama) | Primary |
Entity Name | River Region Psychiatry Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20081124000448 |
Mailing Address | Practice Location Address |
---|---|
Mr Pedro Dejesus Polanco, MD Po Box 1090, 725 East Coy Smith Highway, Mt Vernon, AL 36560 Ph: (251) 662-6700 | Mr Pedro Dejesus Polanco, MD 725 East Coy Smith Highway, Mt Vernon, AL 36560 Ph: (251) 662-6700 |
Dr. Shelby G Bruton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 725 East Coy Smith Highway, Mt Vernon, AL 36560 Phone: 251-662-6700 Fax: 251-829-5385 | |
Miss Rajani S Joshi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 725 East Coy Smith Highway, Mt Vernon, AL 36560 Phone: 251-662-6700 Fax: 251-829-5385 |