Five Star Diagnostics Llc is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Maylene, Alabama. The current practice location for Five Star Diagnostics Llc is 1028 Grande View Pass, Maylene, Alabama. For appointments, you can reach them via phone at
(205) 478-1200. The mailing address for Five Star Diagnostics Llc is 1028 Grande View Pass, Maylene, Alabama and phone number is (205) 478-1200.
Five Star Diagnostics Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1558894576. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(205) 478-1200.
Primary Care Clinic Profile
| Full Name | Five Star Diagnostics Llc |
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| Speciality | Internal Medicine |
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| Location | 1028 Grande View Pass, Maylene, Alabama |
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| Authorized Official Name and Position | Cedric Shannon (OWNER/CEO) |
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| Authorized Official Contact | 2054781200 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Five Star Diagnostics Llc
1028 Grande View Pass
Maylene
AL 35114-4004
Ph: (205) 478-1200 | Five Star Diagnostics Llc
1028 Grande View Pass
Maylene
AL 35114-4004
Ph: (205) 478-1200 |
NPI Details:
| NPI Number | 1558894576 |
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| Provider Enumeration Date | 04/06/2017 |
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| Last Update Date | 02/27/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3577830322 |
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| Medicare Enrollment ID | O20170525002371 |
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Medical Identifiers
Medical identifiers for Five Star Diagnostics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558894576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Five Star Diagnostics Llc acts as a billing entity for following providers:
| Provider Name | Jocelyn A Myers |
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| Provider Type | Practitioner - Endocrinology |
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| Provider Identifiers | NPI Number: 1063498335
PECOS PAC ID: 6507846474
Enrollment ID: I20040721001344 |
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