| Decatur Internal Medicine Center, P.c. | |
|
2506 Danville Rd Sw Suite 101 Decatur AL 35603-4232 | |
| (256) 350-6363 | |
| (256) 350-6855 |
| Full Name | Decatur Internal Medicine Center, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2506 Danville Rd Sw, Decatur, Alabama |
| Authorized Official Name and Position | Kirk Lee Jackson (PRESIDENT) |
| Authorized Official Contact | 2563506363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Internal Medicine Center, P.c. Po Box 870 Cullman AL 35056-0870 Ph: (256) 775-0432 | Decatur Internal Medicine Center, P.c. 2506 Danville Rd Sw Suite 101 Decatur AL 35603-4232 Ph: (256) 350-6363 |
| NPI Number | 1043246432 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 12/20/2007 |
| Medicare PECOS PAC ID | 3375561608 |
|---|---|
| Medicare Enrollment ID | O20051104000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043246432 | NPI | - | NPPES |
| DG3025 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kirk Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316977945 PECOS PAC ID: 2567457260 Enrollment ID: I20070625000507 |
Michael A. Henngian, M.d., P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-351-1990 | |
Whitfield Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2828 Highway 31 S Ste 111, Decatur, AL 35603 Phone: 256-686-3456 | |
Decatur Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 15th Ave Se, Decatur, AL 35601 Phone: 256-350-0153 Fax: 256-350-0156 | |
M. Neel Roberts, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 7th St Se, Suite 120, Decatur, AL 35601 Phone: 256-341-0715 Fax: 256-341-0229 | |
Internal Medicine Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 7th St Se, Decatur, AL 35601 Phone: 256-350-6182 Fax: 256-350-6184 | |
Dba River Oaks Family Medicine And Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1813 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-6874 |