Wilfredo I Vergara, MD | |
245 Governors Dr Se, Huntsville, AL 35801-2700 | |
(256) 265-7981 | |
Not Available |
Full Name | Wilfredo I Vergara |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 245 Governors Dr Se, Huntsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366435398 | NPI | - | NPPES |
009914158 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | ME140266 (Florida) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 27740 (Alabama) | Primary |
Entity Name | Pokroy Medical Group Of Nevada Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992809412 PECOS PAC ID: 7911037643 Enrollment ID: O20100607000694 |
Mailing Address | Practice Location Address |
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Wilfredo I Vergara, MD Po Box 2705, Huntsville, AL 35804-2705 Ph: (256) 801-6047 | Wilfredo I Vergara, MD 245 Governors Dr Se, Huntsville, AL 35801-2700 Ph: (256) 265-7981 |
Dr. Joshua James Lovvorn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-1000 | |
Veronica Collier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-7981 Fax: 256-265-4987 | |
Dr. Laurie Lenhart Imsand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Governors Dr Se, Huntsville, AL 35801 Phone: 256-265-7791 Fax: 256-265-7767 | |
Dr. Charles Gerald Judy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 502 Governors Dr Sw, Huntsville, AL 35801 Phone: 256-533-0833 Fax: 256-533-0855 | |
Dr. Meyer Edwin Dworsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2324 Pansy St Sw, Huntsville, AL 35801 Phone: 256-536-9587 Fax: 256-536-9588 | |
Daniel Caicedo Proano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 Lowell Dr Se Ste 101, Huntsville, AL 35801 Phone: 256-265-1310 Fax: 256-265-1311 | |
Mrs. Diana L Davidson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Road, Picu, Huntsville, AL 35801 Phone: 256-265-7791 Fax: 256-265-7767 |