Fmc Medical Clinic - Fayette Llc - Medicare Primary Care in Fayette, AL

Fmc Medical Clinic - Fayette Llc is a medicare enrolled primary clinic (Family Medicine) in Fayette, Alabama. The current practice location for Fmc Medical Clinic - Fayette Llc is 1653 Temple Ave N Ste 1, Fayette, Alabama. For appointments, you can reach them via phone at (205) 932-1112. The mailing address for Fmc Medical Clinic - Fayette Llc is 1820 Rice Mine Rd N Ste 200, Tuscaloosa, Alabama and phone number is (205) 333-4661.

Fmc Medical Clinic - Fayette Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588141063. 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) 932-1112.

Contact Information

Fmc Medical Clinic - Fayette Llc
1653 Temple Ave N Ste 1
Fayette
AL 35555-1314
(205) 932-1112
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameFmc Medical Clinic - Fayette Llc
SpecialityFamily Medicine
Location1653 Temple Ave N Ste 1, Fayette, Alabama
Authorized Official Name and PositionDaniel Clay Conville (CORP DIRECTOR PHYSICIAN SERVICES)
Authorized Official Contact2057596165
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fmc Medical Clinic - Fayette Llc
1820 Rice Mine Rd N Ste 200
Tuscaloosa
AL 35406-3282

Ph: (205) 333-4661
Fmc Medical Clinic - Fayette Llc
1653 Temple Ave N Ste 1
Fayette
AL 35555-1314

Ph: (205) 932-1112

NPI Details:

NPI Number1588141063
Provider Enumeration Date07/26/2018
Last Update Date10/08/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3375894041
Medicare Enrollment IDO20180919000668

Medical Identifiers

Medical identifiers for Fmc Medical Clinic - Fayette Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588141063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fmc Medical Clinic - Fayette Llc acts as a billing entity for following providers:
Provider NameDana S Norris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356433064
PECOS PAC ID: 5991716870
Enrollment ID: I20060505000842
Provider NameDavid Call
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245233667
PECOS PAC ID: 6103878806
Enrollment ID: I20080512000441
Provider NameRonald Evans
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255337770
PECOS PAC ID: 9830183490
Enrollment ID: I20111214000061
Provider NameMark Randall
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831470426
PECOS PAC ID: 4385893007
Enrollment ID: I20121012000267
Provider NameCortney L Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154795177
PECOS PAC ID: 7416251764
Enrollment ID: I20160205001375
Provider NameCrystal A Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992253090
PECOS PAC ID: 2062795446
Enrollment ID: I20170208003065
Provider NameDakota Acton-jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790167864
PECOS PAC ID: 1153638192
Enrollment ID: I20181017002326
Provider NameKristin Moudry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720568363
PECOS PAC ID: 6002150711
Enrollment ID: I20181206003578

Reviews and Comments


Family Medicine in Fayette, AL

Jon E. Sanford,m.d.,p.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 122 17th Ct Ne, Fayette, AL 35555
Phone: 205-932-3900    Fax: 205-932-3941
Martha Jo Christian Md Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1716 Temple Ave N, Fayette, AL 35555
Phone: 205-932-2497    Fax: 205-932-2539
Frederick L. Yerby, M.d., P.c.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1716 Temple Ave N, Suite 6, Fayette, AL 35555
Phone: 205-932-7750    Fax: 205-932-6293
Harold E. Breitling, Jr., M.d.p.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1716 Temple Ave N, Suite 5, Fayette, AL 35555
Phone: 205-932-3978    Fax: 205-932-3990
Family Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1705 1st Way Nw, Fayette, AL 35555
Phone: 205-932-7821    
Garry W Magouirk Mdpc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 110 23rd St Nw, Fayette, AL 35555
Phone: 205-932-3891    Fax: 205-932-3996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.