| Richard A Lauderdale Jr, PA | |
|
400 Taylor Rd, Montgomery, AL 36117-3512 | |
| (334) 272-1050 | |
| (818) 587-2493 |
| Full Name | Richard A Lauderdale Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 400 Taylor Rd, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073564670 | NPI | - | NPPES |
| 051556080 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA151 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prattville Baptist Hospital | Prattville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Alabama Medical Contractors, Inc | 8426437799 | 3 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Lauderdale Jr, PA 301 Brown Springs Rd, Montgomery, AL 36117-7005 Ph: (334) 273-4508 | Richard A Lauderdale Jr, PA 400 Taylor Rd, Montgomery, AL 36117-3512 Ph: (334) 272-1050 |
Mr. Norman Edward Hobbs, SURGEON'S ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 603, Montgomery, AL 36116 Phone: 334-747-8800 Fax: 334-747-8810 | |
Jessica Melvin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1845 Cherry St, Montgomery, AL 36107 Phone: 334-420-5001 Fax: 334-420-0146 | |
Mr. Jonathan R Ridenour, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2105 E South Blvd, Montgomery, AL 36116 Phone: 334-288-2100 | |
Darron E Forrest, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 273 Winton M Blount Loop, Montgomery, AL 36117 Phone: 334-280-1500 Fax: 334-280-1611 | |
Colton Pendley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5345 Atlanta Hwy, Montgomery, AL 36109 Phone: 334-272-5820 | |
Mrs. Emily Anne Grimm, PA- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 603, Montgomery, AL 36116 Phone: 334-747-8800 Fax: 334-747-8810 |