Kara M Wallace Md Pc | |
4650 Whitesburg Dr Sw Suite 204 Huntsville AL 35802-1670 | |
(256) 533-5211 | |
(256) 533-5084 |
Full Name | Kara M Wallace Md Pc |
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Speciality | Family Medicine |
Location | 4650 Whitesburg Dr Sw, Huntsville, Alabama |
Authorized Official Name and Position | Karen S. Anthony (OFFICE MANAGER) |
Authorized Official Contact | 2565335211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kara M Wallace Md Pc 4650 Whitesburg Dr Sw Suite 204 Huntsville AL 35802-1670 Ph: (256) 533-5211 | Kara M Wallace Md Pc 4650 Whitesburg Dr Sw Suite 204 Huntsville AL 35802-1670 Ph: (256) 533-5211 |
NPI Number | 1952377616 |
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Provider Enumeration Date | 02/23/2006 |
Last Update Date | 03/24/2016 |
Medicare PECOS PAC ID | 6608953724 |
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Medicare Enrollment ID | O20080414000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952377616 | NPI | - | NPPES |
051510722 | Other | AL | BLUECROSSAND BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23260 (Alabama) | Primary |
Provider Name | Kara M Wallace |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487844643 PECOS PAC ID: 6800997693 Enrollment ID: I20070724000190 |
Provider Name | Courtenay P Simmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174867089 PECOS PAC ID: 8820220692 Enrollment ID: I20140409001157 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |