Headland Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Headland, Alabama. The current practice location for Headland Family Medicine is 204 Holman Dr, Headland, Alabama. For appointments, you can reach them via phone at
(334) 693-3336. The mailing address for Headland Family Medicine is 204 Holman Dr, Headland, Alabama and phone number is (334) 693-3336.
Headland Family Medicine is licensed to practice in Alabama (license number 00021221). The clinic also participates in the medicare program and its
NPI number is 1730126129. 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
(334) 693-3336.
Primary Care Clinic Profile
| Full Name | Headland Family Medicine |
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| Speciality | Family Medicine |
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| Location | 204 Holman Dr, Headland, Alabama |
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| Authorized Official Name and Position | Niel Christian Rasmussen (PRESIDENT) |
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| Authorized Official Contact | 3346933336 |
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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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Headland Family Medicine
204 Holman Dr
Headland
AL 36345-2307
Ph: (334) 693-3336 | Headland Family Medicine
204 Holman Dr
Headland
AL 36345-2307
Ph: (334) 693-3336 |
NPI Details:
| NPI Number | 1730126129 |
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| Provider Enumeration Date | 06/02/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0345267589 |
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| Medicare Enrollment ID | O20051027000716 |
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Medical Identifiers
Medical identifiers for Headland Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730126129 | NPI | - | NPPES |
| J071 | Other | | MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 00021221 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Headland Family Medicine acts as a billing entity for following providers:
| Provider Name | Niel C Rasmussen |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1174560916
PECOS PAC ID: 6608919022
Enrollment ID: I20100208000520 |
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