Geriatric Associates Of Montgomery, Pc | |
1230 Carmichael Way Montgomery AL 36106-3671 | |
(334) 277-7665 | |
(334) 277-7142 |
Full Name | Geriatric Associates Of Montgomery, Pc |
---|---|
Speciality | Family Medicine |
Location | 1230 Carmichael Way, Montgomery, Alabama |
Authorized Official Name and Position | Joel C Bolen (PRESIDENT) |
Authorized Official Contact | 3342777665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Geriatric Associates Of Montgomery, Pc 1230 Carmichael Way Montgomery AL 36106-3671 Ph: (334) 277-7665 | Geriatric Associates Of Montgomery, Pc 1230 Carmichael Way Montgomery AL 36106-3671 Ph: (334) 277-7665 |
NPI Number | 1679637912 |
---|---|
Provider Enumeration Date | 12/21/2006 |
Last Update Date | 08/03/2016 |
Medicare PECOS PAC ID | 5991738213 |
---|---|
Medicare Enrollment ID | O20050915001172 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679637912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Karen Y Kelker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992869051 PECOS PAC ID: 5294837720 Enrollment ID: I20070301000203 |
Provider Name | Joel C Bolen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063576130 PECOS PAC ID: 0345271334 Enrollment ID: I20100607000864 |
Provider Name | Courtnye Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407155369 PECOS PAC ID: 7618151705 Enrollment ID: I20110414000436 |
Provider Name | Jennifer M Landrum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720551732 PECOS PAC ID: 8426480518 Enrollment ID: I20191111002085 |
Provider Name | Dorothy I Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295489672 PECOS PAC ID: 7012395692 Enrollment ID: I20220610000441 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |