| Jefferson Clinic, P.c. | |
|
1526 5th Ave S Birmingham AL 35233-1615 | |
| (205) 279-2860 | |
| (205) 251-7698 |
| Full Name | Jefferson Clinic, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1526 5th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Danielle Renee Brown (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 2052792860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Clinic, P.c. 1526 5th Ave S Birmingham AL 35233-1615 Ph: (205) 279-2860 | Jefferson Clinic, P.c. 1526 5th Ave S Birmingham AL 35233-1615 Ph: (205) 279-2860 |
| NPI Number | 1124086509 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 01/23/2013 |
| Medicare PECOS PAC ID | 9133114804 |
|---|---|
| Medicare Enrollment ID | O20040420001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124086509 | NPI | - | NPPES |
| 000060093 | Medicaid | AL |
| Provider Name | James Lasker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215956289 PECOS PAC ID: 0042113821 Enrollment ID: I20040129000461 |
| Provider Name | Aimee C Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649207424 PECOS PAC ID: 3375516412 Enrollment ID: I20040817000326 |
| Provider Name | Jane E Mobley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659309912 PECOS PAC ID: 0941272843 Enrollment ID: I20040907000506 |
| Provider Name | Navin C Nanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578594834 PECOS PAC ID: 0547222077 Enrollment ID: I20041027001220 |
| Provider Name | Valentina A Folse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508801846 PECOS PAC ID: 8325097967 Enrollment ID: I20050120000713 |
| Provider Name | Charles G Cobbs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265475990 PECOS PAC ID: 8820038920 Enrollment ID: I20050509000429 |
| Provider Name | Lisa L Willett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497779599 PECOS PAC ID: 2769424357 Enrollment ID: I20050524000852 |
| Provider Name | Gustavo R Heudebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225064298 PECOS PAC ID: 9739121336 Enrollment ID: I20050524000882 |
| Provider Name | Jeremy W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447287115 PECOS PAC ID: 4284648023 Enrollment ID: I20060131000678 |
| Provider Name | Andrea L Cherrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467485029 PECOS PAC ID: 0941196612 Enrollment ID: I20061208000209 |
| Provider Name | Percy J Colon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346239027 PECOS PAC ID: 4486757283 Enrollment ID: I20070315000431 |
| Provider Name | Luiz Pinheiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508855206 PECOS PAC ID: 7214010651 Enrollment ID: I20080422000234 |
| Provider Name | Jamie E Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114177375 PECOS PAC ID: 1951581206 Enrollment ID: I20110203000963 |
| Provider Name | William W Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225306384 PECOS PAC ID: 9032378823 Enrollment ID: I20120314000599 |
| Provider Name | David Layne Mccollum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720021652 PECOS PAC ID: 6800831249 Enrollment ID: I20120608000448 |
| Provider Name | Garima Agarwal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578821864 PECOS PAC ID: 1557517299 Enrollment ID: I20120810000726 |
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