| Dermaccel, Llc | |
|
119 Watterson Pkwy Trussville AL 35173-2307 | |
| (205) 838-3545 | |
| Not Available |
| Full Name | Dermaccel, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 Watterson Pkwy, Trussville, Alabama |
| Authorized Official Name and Position | Jonathan Wade (CEO) |
| Authorized Official Contact | 9192703277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermaccel, Llc Po Box 59027 Birmingham AL 35259-9027 Ph: (919) 270-3277 | Dermaccel, Llc 119 Watterson Pkwy Trussville AL 35173-2307 Ph: (205) 838-3545 |
| NPI Number | 1992582241 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 7618323130 |
|---|---|
| Medicare Enrollment ID | O20231019001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992582241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lee T Wimberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033142054 PECOS PAC ID: 8325098726 Enrollment ID: I20050124000813 |
| Provider Name | Mohannad F Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013141951 PECOS PAC ID: 7911167564 Enrollment ID: I20120320000261 |
| Provider Name | Windy J Wisener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619235009 PECOS PAC ID: 8426209453 Enrollment ID: I20121121000174 |
| Provider Name | Amy Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301130 PECOS PAC ID: 4789987819 Enrollment ID: I20160125001205 |
| Provider Name | Lisa Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952800641 PECOS PAC ID: 4082625983 Enrollment ID: I20180522001426 |
| Provider Name | Jami F Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693411 PECOS PAC ID: 7517209422 Enrollment ID: I20190424003135 |
| Provider Name | Reagan R Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417416173 PECOS PAC ID: 5496081374 Enrollment ID: I20190730003820 |
| Provider Name | Cheryl Ann Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730658964 PECOS PAC ID: 4587992185 Enrollment ID: I20190820004197 |
| Provider Name | Hannah Dean Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073173720 PECOS PAC ID: 7618305103 Enrollment ID: I20200316002233 |
| Provider Name | Branden Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
| Provider Name | Adaline Macall Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131781 PECOS PAC ID: 3971986878 Enrollment ID: I20220810000267 |
| Provider Name | Dakota Thiele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760195358 PECOS PAC ID: 2163897000 Enrollment ID: I20230407000565 |
Premier Urgent And Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4643 Camp Coleman Rd, Suite 117, Trussville, AL 35173 Phone: 205-655-4924 | |
Wellness And Weight Loss Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4735 Norrel Dr, Suite 109, Trussville, AL 35173 Phone: 205-655-9355 Fax: 205-655-9354 | |
Stv Primary Care East Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 Phone: 205-655-3721 Fax: 205-655-3814 | |
Family And Pain Management Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4735 Norrel Dr, Suite 105, Trussville, AL 35173 Phone: 205-655-9355 Fax: 205-655-9354 | |
Michele Jordan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 N Chalkville Rd, Trussville, AL 35173 Phone: 205-661-3737 | |
Birmingham Integrative Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7299 Gadsden Hwy, Trussville, AL 35173 Phone: 205-655-6446 Fax: 205-655-8252 | |
Doctors Choice Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 459 Main St, Suite 101, Trussville, AL 35173 Phone: 256-393-6054 |