| Dr Bill Yates Md Pc | |
|
203 19th St E Jasper AL 35501-5457 | |
| (205) 384-3481 | |
| (205) 384-1057 |
| Full Name | Dr Bill Yates Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 203 19th St E, Jasper, Alabama |
| Authorized Official Name and Position | Bill Yates (DOCTOR) |
| Authorized Official Contact | 2053843481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bill Yates Md Pc 203 19th St E Jasper AL 35501-5457 Ph: (205) 384-3481 | Dr Bill Yates Md Pc 203 19th St E Jasper AL 35501-5457 Ph: (205) 384-3481 |
| NPI Number | 1629276845 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 08/24/2010 |
| Medicare PECOS PAC ID | 4981681251 |
|---|---|
| Medicare Enrollment ID | O20040706000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629276845 | NPI | - | NPPES |
| 529302220 | Medicaid | AL | |
| 51085092 | Other | AL | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10923 (Alabama) | Primary |
| Provider Name | Bill Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043312101 PECOS PAC ID: 0345227625 Enrollment ID: I20051013000079 |
| Provider Name | Charles E Shipman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508898198 PECOS PAC ID: 3072677731 Enrollment ID: I20090126000381 |
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