East Alabama Psychiatric Services | |
2740 Village Professional Dr Opelika AL 36801-2379 | |
(334) 821-0238 | |
(334) 821-6685 |
Full Name | East Alabama Psychiatric Services |
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Speciality | Psychiatry & Neurology |
Location | 2740 Village Professional Dr, Opelika, Alabama |
Authorized Official Name and Position | Samuel A Price (CFO) |
Authorized Official Contact | 3345281310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Alabama Psychiatric Services 2740 Village Professional Dr Opelika AL 36801-2379 Ph: (334) 821-0238 | East Alabama Psychiatric Services 2740 Village Professional Dr Opelika AL 36801-2379 Ph: (334) 821-0238 |
NPI Number | 1356494298 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 05/03/2022 |
Certification Date | 05/03/2022 |
Medicare PECOS PAC ID | 8820213309 |
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Medicare Enrollment ID | O20140626001209 |
Identifier | Type | State | Issuer |
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1356494298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Peter J Lusche |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821053760 PECOS PAC ID: 9739361361 Enrollment ID: I20141002001648 |
Provider Name | Jennifer Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528351160 PECOS PAC ID: 0840500807 Enrollment ID: I20151104001232 |
Provider Name | Amanda J Williams |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740577840 PECOS PAC ID: 0648588855 Enrollment ID: I20151112000439 |
Provider Name | Charles Henry Davis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801206917 PECOS PAC ID: 2769778372 Enrollment ID: I20190515000526 |
Provider Name | Aleiya Butler Wright |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699158535 PECOS PAC ID: 6800145798 Enrollment ID: I20200814002612 |
Provider Name | Christiana Marie Wilkins |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962889246 PECOS PAC ID: 2365756681 Enrollment ID: I20200818001943 |
Provider Name | Austin Malory Luker |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790172385 PECOS PAC ID: 5991019606 Enrollment ID: I20200826003886 |
Provider Name | Brian Walter Bernstein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447712443 PECOS PAC ID: 7416362900 Enrollment ID: I20210216000130 |
Provider Name | Skylar Moore Couch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811245228 PECOS PAC ID: 6406213503 Enrollment ID: I20230606000255 |
Provider Name | Ibrahim Askar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326601493 PECOS PAC ID: 8426381021 Enrollment ID: I20230808002898 |
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East Alabama Psychiatric Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3320 Skyway Dr, Suite 801, Opelika, AL 36801 Phone: 334-749-3411 | |
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