Dothan Pediatric Clinic, P. A. - Medicare Mental Health Clinic in Dothan, AL

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Dothan Pediatric Clinic, P. A. is a medicare enrolled mental health clinic (Pediatrics) in Dothan, Alabama. The current practice location for Dothan Pediatric Clinic, P. A. is 126 Clinic Dr, Dothan, Alabama. For appointments, you can reach them via phone at (334) 793-1881. The mailing address for Dothan Pediatric Clinic, P. A. is 126 Clinic Dr, Dothan, Alabama and phone number is (334) 793-1881.

Dothan Pediatric Clinic, P. A. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376508788. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 793-1881.

Contact Information

Dothan Pediatric Clinic, P. A.
126 Clinic Dr
Dothan
AL 36303-1980
(334) 793-1881
(334) 712-1815

Map and Direction


Mental Health Clinic Profile

Full NameDothan Pediatric Clinic, P. A.
SpecialityPediatrics
Location126 Clinic Dr, Dothan, Alabama
Authorized Official Name and PositionGina Tolar (INSURANCE & COLLECTION SUPERVISOR)
Authorized Official Contact3347931881
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dothan Pediatric Clinic, P. A.
126 Clinic Dr
Dothan
AL 36303-1980

Ph: (334) 793-1881		Dothan Pediatric Clinic, P. A.
126 Clinic Dr
Dothan
AL 36303-1980

Ph: (334) 793-1881

NPI Details:

NPI Number1376508788
Provider Enumeration Date04/19/2006
Last Update Date07/22/2021
Certification Date07/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0749245330
Medicare Enrollment IDO20041123000377

Medical Identifiers

Medical identifiers for Dothan Pediatric Clinic, P. A. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376508788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Primary
2080P0206XPediatrics - Pediatric Gastroenterology (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dothan Pediatric Clinic, P. A. acts as a billing entity for following providers:
Provider NameDavid J Lozano
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1518915305
PECOS PAC ID: 2769464551
Enrollment ID: I20040604000477
Provider NameElizabeth A Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356332217
PECOS PAC ID: 4082679683
Enrollment ID: I20041123000475
Provider NameJeffrey M Tamburin
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1629069752
PECOS PAC ID: 8527023118
Enrollment ID: I20041123000533
Provider NameMark Strassburg
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1588674659
PECOS PAC ID: 3779563705
Enrollment ID: I20051102001098
Provider NameKenneth C Brown
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891786844
PECOS PAC ID: 0547225138
Enrollment ID: I20060215000663
Provider NameReed A Dimmitt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336180843
PECOS PAC ID: 1153460043
Enrollment ID: I20091207000350
Provider NameJennifer Stinson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720017155
PECOS PAC ID: 4981748746
Enrollment ID: I20100217000044
Provider NameJennifer E Muraski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467774646
PECOS PAC ID: 5092847475
Enrollment ID: I20100721000026
Provider NameMeredith C Hitch
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1134269848
PECOS PAC ID: 8022286087
Enrollment ID: I20110718000355
Provider NameRobert J Benak
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568452662
PECOS PAC ID: 1254517170
Enrollment ID: I20120313000819
Provider NameMichael J Ramsey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821089871
PECOS PAC ID: 1355306945
Enrollment ID: I20120313000839
Provider NameAubrey Scott
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1790775807
PECOS PAC ID: 4981669579
Enrollment ID: I20160126002435
Provider NameJoanna A Mckinley
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1962535195
PECOS PAC ID: 3870527682
Enrollment ID: I20160222002500
Provider NameJames B Addison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679985055
PECOS PAC ID: 9133425986
Enrollment ID: I20160304000914
Provider NameNola Ernest
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1134362817
PECOS PAC ID: 0648577742
Enrollment ID: I20160404001502
Provider NameAllison E Walker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841557204
PECOS PAC ID: 4486804242
Enrollment ID: I20160502001554
Provider NameTera L Knighton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437571627
PECOS PAC ID: 1153620877
Enrollment ID: I20160502002032
Provider NameMichelle S Freeman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326038431
PECOS PAC ID: 7719942309
Enrollment ID: I20160516001699
Provider NameDelancey Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407205404
PECOS PAC ID: 0941598577
Enrollment ID: I20161013001077
Provider NameHeather Choat
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1750729737
PECOS PAC ID: 4688959869
Enrollment ID: I20170330002279
Provider NameJacob H Edwards
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730323254
PECOS PAC ID: 8325317050
Enrollment ID: I20170711003531
Provider NameLisa Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497021414
PECOS PAC ID: 7517231715
Enrollment ID: I20170927002098
Provider NameBrittany L Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649763640
PECOS PAC ID: 3274883327
Enrollment ID: I20180911001499
Provider NameAmanda Jean Murray
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902291552
PECOS PAC ID: 0749558708
Enrollment ID: I20181030001074
Provider NameMeghan Benak
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477916807
PECOS PAC ID: 6608106711
Enrollment ID: I20191002001647
Provider NameElizabeth Dawson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104086461
PECOS PAC ID: 3173938503
Enrollment ID: I20210217002862
Provider NameAubrey M Coleman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972090033
PECOS PAC ID: 4587063102
Enrollment ID: I20210601001551
Provider NameZoza G Spears
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902367048
PECOS PAC ID: 2163764374
Enrollment ID: I20220622002461
Provider NameAdam Matthew Delong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366901316
PECOS PAC ID: 6305173840
Enrollment ID: I20220623001424
Provider NameAnnely Elise Burgamy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205201241
PECOS PAC ID: 7911200969
Enrollment ID: I20230428001310
Provider NameMayre K Knox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649985938
PECOS PAC ID: 0345608519
Enrollment ID: I20230620002501
Provider NameAnthony B Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922790773
PECOS PAC ID: 2466815089
Enrollment ID: I20230830002222
Provider NameRoger W. Kirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790947620
PECOS PAC ID: 3678769700
Enrollment ID: I20230908000767

Reviews and Comments

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Phone: 334-793-1703    Fax: 334-793-9314

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.