| By His Grace Primary Care, Llc | |
|
806 Glover Ave Ste A Enterprise AL 36330-2018 | |
| (334) 475-2680 | |
| (334) 475-2681 |
| Full Name | By His Grace Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 806 Glover Ave Ste A, Enterprise, Alabama |
| Authorized Official Name and Position | Samantha Pickett (CRNO, CEO) |
| Authorized Official Contact | 3348069233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| By His Grace Primary Care, Llc 806 Glover Ave Ste A Enterprise AL 36330-2018 Ph: (334) 475-2680 | By His Grace Primary Care, Llc 806 Glover Ave Ste A Enterprise AL 36330-2018 Ph: (334) 475-2680 |
| NPI Number | 1073202115 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 2264895887 |
|---|---|
| Medicare Enrollment ID | O20230830002316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073202115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Linguiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902934359 PECOS PAC ID: 3072559574 Enrollment ID: I20120711000193 |
| Provider Name | Vicki D Senn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881007086 PECOS PAC ID: 7214244516 Enrollment ID: I20150918001931 |
| Provider Name | Samantha E Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063950319 PECOS PAC ID: 7214214873 Enrollment ID: I20170509000132 |
Professional Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
David H. Hayes, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Glover Ave, Suite B, Enterprise, AL 36330 Phone: 334-347-0991 Fax: 334-347-1805 | |
New Horizons Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Rucker Blvd Ste A, Enterprise, AL 36330 Phone: 334-347-4343 Fax: 334-393-9611 | |
Hillside Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330 Phone: 334-475-2067 | |
Fast Pace Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1026 Boll Weevil Circle, Enterprise, AL 36330 Phone: 931-253-1110 | |
Stephen R Brandt Md Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 |