| Imc-central Baldwin Physicians Llc | |
|
18317 Us 90 Robertsdale AL 36567 | |
| (251) 947-2000 | |
| Not Available |
| Full Name | Imc-central Baldwin Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18317 Us 90, Robertsdale, Alabama |
| Authorized Official Name and Position | Anthony Palazzo (VP OF FINANCE) |
| Authorized Official Contact | 2514351361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imc-central Baldwin Physicians Llc 18317 Us 90 Robertsdale AL 36567 Ph: (251) 947-2000 | Imc-central Baldwin Physicians Llc 18317 Us 90 Robertsdale AL 36567 Ph: (251) 947-2000 |
| NPI Number | 1346697539 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 3274825328 |
|---|---|
| Medicare Enrollment ID | O20160711000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346697539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry P Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639186596 PECOS PAC ID: 8628009784 Enrollment ID: I20050829000328 |
| Provider Name | Lynn H Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508874751 PECOS PAC ID: 3870524952 Enrollment ID: I20050829000548 |
| Provider Name | Jennifer Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720477151 PECOS PAC ID: 4789903295 Enrollment ID: I20170119001168 |
| Provider Name | Valerie Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629303458 PECOS PAC ID: 2264824937 Enrollment ID: I20220110002501 |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18317 Us Hwy 90, Robertsdale, AL 36567 Phone: 251-947-2000 Fax: 251-947-5399 | |
Third Coast Optical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22835 State Highway 59 S Ste D, Robertsdale, AL 36567 Phone: 251-923-8684 |