Samantha S Wyatt, MD | |
620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | |
(256) 353-7775 | |
(256) 353-7765 |
Full Name | Samantha S Wyatt |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 23 Years |
Location | 620 Walnut St Ne, Decatur, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942247150 | NPI | - | NPPES |
009932289 | Medicaid | AL | |
51001088 | Other | AL | BCBS AL PROVIDER# |
529924440 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 00026547 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
Entity Name | Decatur Dermatology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770782849 PECOS PAC ID: 4183654338 Enrollment ID: O20050817000242 |
Mailing Address | Practice Location Address |
---|---|
Samantha S Wyatt, MD 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 Ph: (256) 353-7775 | Samantha S Wyatt, MD 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 Ph: (256) 353-7775 |
Jere H Weaver, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 722 Bank St Ne, Decatur, AL 35601 Phone: 256-351-1874 Fax: 256-351-1876 | |
Dr. Joseph Thomas Backe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1203 Medical Dr Se, Decatur, AL 35601 Phone: 256-350-2875 Fax: 256-350-6228 | |
Dr. James L Reeder Sr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1310 Somerville Rd Se, Decatur, AL 35601 Phone: 256-350-2550 Fax: 256-350-9739 |