| Integrated Wound Care Alabama Pllc | |
|
641 S Lawrence St Montgomery AL 36104-5809 | |
| (732) 451-4318 | |
| Not Available |
| Full Name | Integrated Wound Care Alabama Pllc |
|---|---|
| Speciality | General Practice |
| Location | 641 S Lawrence St, Montgomery, Alabama |
| Authorized Official Name and Position | Diane Lusas (MEMBER) |
| Authorized Official Contact | 2018701194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Alabama Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Alabama Pllc 641 S Lawrence St Montgomery AL 36104-5809 Ph: (732) 451-4318 |
| NPI Number | 1568059137 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Medicare PECOS PAC ID | 2466865316 |
|---|---|
| Medicare Enrollment ID | O20210113002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568059137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John M Croushorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639182397 PECOS PAC ID: 3072594175 Enrollment ID: I20040525001567 |
| Provider Name | Laura C Bunch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295773125 PECOS PAC ID: 1850322850 Enrollment ID: I20130107000013 |
| Provider Name | Christine S Falls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598191231 PECOS PAC ID: 3577793231 Enrollment ID: I20140226000826 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20210113002528 |
| Provider Name | Lisa W Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225611320 PECOS PAC ID: 4183026990 Enrollment ID: I20210715001409 |
| Provider Name | Brittany Urresta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447825450 PECOS PAC ID: 4880098409 Enrollment ID: I20210804001925 |
| Provider Name | Melanie A Manney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584297 PECOS PAC ID: 2769526268 Enrollment ID: I20211108002200 |
| Provider Name | Melissa A Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174056253 PECOS PAC ID: 7214214675 Enrollment ID: I20220609001434 |
| Provider Name | Catherine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730885328 PECOS PAC ID: 7517325384 Enrollment ID: I20230627001001 |
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 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |