Genesis Eldercare Physician Services Llc | |
420 Dean Dr Gardendale AL 35071 | |
(205) 631-8709 | |
Not Available |
Full Name | Genesis Eldercare Physician Services Llc |
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Speciality | Internal Medicine |
Location | 420 Dean Dr, Gardendale, Alabama |
Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
Authorized Official Contact | 4108327790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 420 Dean Dr Gardendale AL 35071 Ph: (205) 631-8709 |
NPI Number | 1598181349 |
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Provider Enumeration Date | 03/17/2014 |
Last Update Date | 08/05/2019 |
Medicare PECOS PAC ID | 9830002534 |
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Medicare Enrollment ID | O20140926000436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598181349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Theresa E Landrum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720189756 PECOS PAC ID: 1355368929 Enrollment ID: I20051102000347 |
Provider Name | Oludayo B Dawodu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184737397 PECOS PAC ID: 5496751729 Enrollment ID: I20061010000611 |
Provider Name | Christine A Davis |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497838726 PECOS PAC ID: 0244230100 Enrollment ID: I20061228000201 |
Provider Name | Alicia M Reaves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629234588 PECOS PAC ID: 0840350450 Enrollment ID: I20081126000387 |
Provider Name | Bharat K Vakharia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992896336 PECOS PAC ID: 4486798170 Enrollment ID: I20100218000520 |
Provider Name | Gregory M Flippo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033187109 PECOS PAC ID: 7719898832 Enrollment ID: I20100901000698 |
Provider Name | Chikisha Laray Flint |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831470996 PECOS PAC ID: 2365615655 Enrollment ID: I20111102000164 |
Provider Name | Jonathan Byron Scogin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922355312 PECOS PAC ID: 8921256413 Enrollment ID: I20120906000669 |
Provider Name | Bardya Mostafavi Naein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346597804 PECOS PAC ID: 7012132947 Enrollment ID: I20140708002077 |
Provider Name | Geetha Jacob |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992089627 PECOS PAC ID: 5698938306 Enrollment ID: I20160420000151 |
Provider Name | Jessica Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699243220 PECOS PAC ID: 7315282209 Enrollment ID: I20181220003379 |
Provider Name | Margaret Harrell Hanby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235759242 PECOS PAC ID: 9032530795 Enrollment ID: I20200604001409 |
Primary Hydration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Main St Ste A, Gardendale, AL 35071 Phone: 205-285-3766 Fax: 205-270-4989 | |
Vincentian Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Decatur Hwy, Gardendale, AL 35071 Phone: 205-418-1200 | |
Bbh Pcn Gardendale Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 758 Main St, Gardendale, AL 35071 Phone: 205-631-5521 Fax: 205-631-5540 | |
Priority Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Sierra Ct, Gardendale, AL 35071 Phone: 205-612-7330 | |
American Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Odum Road, Gardendale, AL 35071 Phone: 205-631-6834 Fax: 205-631-0273 | |
Brookwood Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 Phone: 205-418-1270 Fax: 205-418-1271 | |
Gardendale Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2244 North Rd, Gardendale, AL 35071 Phone: 205-631-6216 |