| Home Team Medical Services Llc | |
|
833 Saint Vincents Dr Ste 202 Birmingham AL 35205-1609 | |
| (781) 400-5142 | |
| Not Available |
| Full Name | Home Team Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 833 Saint Vincents Dr Ste 202, Birmingham, Alabama |
| Authorized Official Name and Position | Robert L Green (OWNER) |
| Authorized Official Contact | 7577842320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Team Medical Services Llc 833 Saint Vincents Dr Ste 202 Birmingham AL 35205-1609 Ph: (781) 400-5142 | Home Team Medical Services Llc 833 Saint Vincents Dr Ste 202 Birmingham AL 35205-1609 Ph: (781) 400-5142 |
| NPI Number | 1326813320 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 8921445792 |
|---|---|
| Medicare Enrollment ID | O20240328002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326813320 | NPI | - | NPPES |
| Provider Name | David L Rader |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033108436 PECOS PAC ID: 9032248679 Enrollment ID: I20100520000291 |
| Provider Name | Robert L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073803649 PECOS PAC ID: 1355578204 Enrollment ID: I20140815000171 |
| Provider Name | Paige H Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366866394 PECOS PAC ID: 4082836689 Enrollment ID: I20141115000269 |
| Provider Name | Jennifer Simpson Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669239794 PECOS PAC ID: 0143669481 Enrollment ID: I20240418002998 |
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