| Extended Care Medical Associates Llc | |
|
256 Honeysuckle Rd Ste 20 Dothan AL 36305-1168 | |
| (334) 699-3320 | |
| (334) 699-3342 |
| Full Name | Extended Care Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 256 Honeysuckle Rd Ste 20, Dothan, Alabama |
| Authorized Official Name and Position | Bobby Stephen Sanders (OWNER / MD) |
| Authorized Official Contact | 3346993320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Medical Associates Llc Po Box 6289 Dothan AL 36302-6289 Ph: (334) 699-3320 | Extended Care Medical Associates Llc 256 Honeysuckle Rd Ste 20 Dothan AL 36305-1168 Ph: (334) 699-3320 |
| NPI Number | 1902182371 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 8921275710 |
|---|---|
| Medicare Enrollment ID | O20120119000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902182371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobby Stephen Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174790299 PECOS PAC ID: 5991869810 Enrollment ID: I20090121000469 |
| Provider Name | John H Burgess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275502486 PECOS PAC ID: 2668450586 Enrollment ID: I20100210000006 |
| Provider Name | Nancy M Turnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023087228 PECOS PAC ID: 0547392961 Enrollment ID: I20100721000522 |
| Provider Name | Allison D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548229602 PECOS PAC ID: 5991837312 Enrollment ID: I20100721000538 |
| Provider Name | Amy K Roselius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184090359 PECOS PAC ID: 4880999168 Enrollment ID: I20160224001722 |
| Provider Name | Sarah Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760713 PECOS PAC ID: 6608209036 Enrollment ID: I20191125003100 |
| Provider Name | Jesslyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510650 PECOS PAC ID: 9335509629 Enrollment ID: I20230718003533 |
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