| Med Care Llc | |
|
2605 Gault Ave N Suite 200 Fort Payne AL 35967-3751 | |
| (256) 451-1250 | |
| (256) 451-1270 |
| Full Name | Med Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2605 Gault Ave N, Fort Payne, Alabama |
| Authorized Official Name and Position | Muhammad E Ata (OWNER) |
| Authorized Official Contact | 2564511250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Care Llc Po Box 246 Pisgah AL 35765-0246 Ph: (256) 451-1250 | Med Care Llc 2605 Gault Ave N Suite 200 Fort Payne AL 35967-3751 Ph: (256) 451-1250 |
| NPI Number | 1528467388 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Medicare PECOS PAC ID | 9739496530 |
|---|---|
| Medicare Enrollment ID | O20150910002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528467388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carolyn Brewer Stiefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609891456 PECOS PAC ID: 3779583406 Enrollment ID: I20070103000337 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Muhammad Ata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023112307 PECOS PAC ID: 5294631750 Enrollment ID: I20090429000389 |
| Provider Name | Cathy Annette Olinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184764912 PECOS PAC ID: 1951368828 Enrollment ID: I20090430000097 |
| Provider Name | Anand Shanker Balachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003187642 PECOS PAC ID: 4486948973 Enrollment ID: I20160805001323 |
| Provider Name | Josiah Keaton Aldrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184165748 PECOS PAC ID: 4587939350 Enrollment ID: I20171004000904 |
| Provider Name | Muhammad Omair Ahsan Ata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942763362 PECOS PAC ID: 2668728932 Enrollment ID: I20210428000653 |
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