Bbh Primary And Specialty Care Network | |
47344 Us Highway 78 Lincoln AL 35096-6748 | |
(205) 763-7848 | |
(205) 763-7235 |
Full Name | Bbh Primary And Specialty Care Network |
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Speciality | Family Medicine |
Location | 47344 Us Highway 78, Lincoln, Alabama |
Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR TENET) |
Authorized Official Contact | 4698932532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bbh Primary And Specialty Care Network Po Box 11407 Dept#8007 Birmingham AL 35246-0001 Ph: (205) 599-4282 | Bbh Primary And Specialty Care Network 47344 Us Highway 78 Lincoln AL 35096-6748 Ph: (205) 763-7848 |
NPI Number | 1770547804 |
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Provider Enumeration Date | 04/14/2006 |
Last Update Date | 05/30/2023 |
Medicare PECOS PAC ID | 1456255090 |
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Medicare Enrollment ID | O20031125000097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770547804 | NPI | - | NPPES |
529302590 | Medicaid | AL | |
541003855 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stanley W Jett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154424695 PECOS PAC ID: 2668376211 Enrollment ID: I20031125000191 |
Provider Name | Lea C Clayton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376651992 PECOS PAC ID: 3375446891 Enrollment ID: I20040130000695 |
Provider Name | Brenda S Bynum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497869556 PECOS PAC ID: 2860412889 Enrollment ID: I20051205000781 |
Provider Name | Renee H Staude |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730295148 PECOS PAC ID: 1850396532 Enrollment ID: I20061002000598 |
Provider Name | Stacy M Towles-moore |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992710743 PECOS PAC ID: 0749241412 Enrollment ID: I20090810000334 |
Provider Name | Dale E Trammell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871596205 PECOS PAC ID: 3577745298 Enrollment ID: I20110316000618 |
Provider Name | Milka Elena Martinez Arache |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306162250 PECOS PAC ID: 5496925448 Enrollment ID: I20110830000316 |
Provider Name | Misty Ralyea |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386949873 PECOS PAC ID: 6709048903 Enrollment ID: I20120504000438 |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Bear Pkwy, Lincoln, AL 35096 Phone: 205-548-4106 Fax: 931-722-9919 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Bear Pkwy, Lincoln, AL 35096 Phone: 205-548-4106 |