Medical Asset Group, Llc | |
15239 Al Highway 68 Crossville AL 35962-3481 | |
(256) 925-0012 | |
(256) 925-0016 |
Full Name | Medical Asset Group, Llc |
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Speciality | Family Medicine |
Location | 15239 Al Highway 68, Crossville, Alabama |
Authorized Official Name and Position | Raymond J Ufford (OWNER, OFFICE MANAGER) |
Authorized Official Contact | 2569079000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Asset Group, Llc Po Box 396 Crossville AL 35962-0396 Ph: () - | Medical Asset Group, Llc 15239 Al Highway 68 Crossville AL 35962-3481 Ph: (256) 925-0012 |
NPI Number | 1720595762 |
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Provider Enumeration Date | 12/29/2017 |
Last Update Date | 12/29/2017 |
Medicare PECOS PAC ID | 6901151505 |
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Medicare Enrollment ID | O20180622001849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720595762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Raymond C Ufford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679568752 PECOS PAC ID: 4587627427 Enrollment ID: I20050929001302 |
Provider Name | Melissa Ashley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497720262 PECOS PAC ID: 7012947492 Enrollment ID: I20111012000571 |
Provider Name | Angela A Cunningham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790169274 PECOS PAC ID: 9335455930 Enrollment ID: I20161014001196 |
Provider Name | Carlos Chacon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477095883 PECOS PAC ID: 6709150220 Enrollment ID: I20170922000736 |
Provider Name | Robin Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245695667 PECOS PAC ID: 1153594676 Enrollment ID: I20170926002811 |
Provider Name | Jeffery H Mooneyham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134570500 PECOS PAC ID: 5092060590 Enrollment ID: I20180625003459 |
Provider Name | Peggy Jo Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477041804 PECOS PAC ID: 4082948286 Enrollment ID: I20190621000975 |
Provider Name | Melissa A Mayfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124591177 PECOS PAC ID: 1658605324 Enrollment ID: I20190628002796 |
Rehab Services Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15239 Al Highway 68, Crossville, AL 35962 Phone: 256-925-0469 Fax: 256-925-0553 | |
South Dekalb Family Medical Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15239 Al Hwy 68 W, Crossville, AL 35962 Phone: 256-528-7173 Fax: 256-528-2425 |