Elberta Family Practice Clinic | |
24980 State St Po Drawer 519 Elberta AL 36530-2573 | |
(251) 986-7301 | |
(251) 986-5927 |
Full Name | Elberta Family Practice Clinic |
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Speciality | Family Medicine |
Location | 24980 State St, Elberta, Alabama |
Authorized Official Name and Position | Terry A. Kurtts (OWNER) |
Authorized Official Contact | 2519867301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elberta Family Practice Clinic 24980 State St Po Drawer 519 Elberta AL 36530-2573 Ph: (251) 986-7301 | Elberta Family Practice Clinic 24980 State St Po Drawer 519 Elberta AL 36530-2573 Ph: (251) 986-7301 |
NPI Number | 1588752844 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 02/20/2020 |
Medicare PECOS PAC ID | 6901874403 |
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Medicare Enrollment ID | O20040922000796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588752844 | NPI | - | NPPES |
529500390 | Medicaid | AL | |
BCBS | Other | AL | BLUE CROSS BLUE SHIELD AL |
CN3899 | Other | AL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Joseph P Walsh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376523753 PECOS PAC ID: 8022086537 Enrollment ID: I20040922000853 |
Provider Name | David S Emerson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598760191 PECOS PAC ID: 6406987551 Enrollment ID: I20100713000160 |
Provider Name | Carolyn Holman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407836802 PECOS PAC ID: 6406972876 Enrollment ID: I20100923000624 |
Provider Name | Terry Alan Kurtts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144200510 PECOS PAC ID: 0244208759 Enrollment ID: I20101018000154 |
Provider Name | Sherilyn M Donnelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689911414 PECOS PAC ID: 4284871906 Enrollment ID: I20130516000209 |
Provider Name | Donna M Beck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861785693 PECOS PAC ID: 4082840509 Enrollment ID: I20140220000200 |
Provider Name | Debra Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871836858 PECOS PAC ID: 8628295789 Enrollment ID: I20140813001397 |
Provider Name | Lindsay Pieper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407321094 PECOS PAC ID: 5597009670 Enrollment ID: I20181129002914 |
Heath Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9275 Bay Point Dr, Elberta, AL 36530 Phone: 205-401-0976 |