| Blissful Healthcare Llc | |
|
101 E Paulk Ave Ste A Opp AL 36467-1727 | |
| (334) 493-0311 | |
| (334) 493-0355 |
| Full Name | Blissful Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Paulk Ave Ste A, Opp, Alabama |
| Authorized Official Name and Position | Sheena Buckelew (OWNER) |
| Authorized Official Contact | 3343004812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blissful Healthcare Llc 101 E Paulk Ave Ste A Opp AL 36467-1727 Ph: (334) 493-0311 | Blissful Healthcare Llc 101 E Paulk Ave Ste A Opp AL 36467-1727 Ph: (334) 493-0311 |
| NPI Number | 1417432030 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 1951643956 |
|---|---|
| Medicare Enrollment ID | O20191010002355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417432030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lance K Dyess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912980269 PECOS PAC ID: 2062326135 Enrollment ID: I20110608000127 |
| Provider Name | Sheena P Buckelew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588925069 PECOS PAC ID: 8527215516 Enrollment ID: I20120827000490 |
Kenneth J Crowe Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Suite A, Opp, AL 36467 Phone: 334-493-2530 Fax: 334-493-3973 | |
Mizell Stat Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St Ste 2, Opp, AL 36467 Phone: 334-493-5704 Fax: 334-493-9664 | |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 | |
Goode Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Paulk Ave, Suite B, Opp, AL 36467 Phone: 334-493-0233 Fax: 334-493-0274 | |
Andalusia Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Us Hwy 84 West, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825 | |
Opp Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 Brantley St, Opp, AL 36467 Phone: 334-493-4472 Fax: 334-493-9849 |