Medical East | |
15243 Greenfield Dr Athens AL 35613-2899 | |
(256) 771-0994 | |
(256) 771-1662 |
Full Name | Medical East |
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Speciality | Family Medicine |
Location | 15243 Greenfield Dr, Athens, Alabama |
Authorized Official Name and Position | Sebrina B Holt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2562169648 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical East 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 771-0994 | Medical East 15243 Greenfield Dr Athens AL 35613-2899 Ph: (256) 771-0994 |
NPI Number | 1447787528 |
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Provider Enumeration Date | 05/19/2017 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 1052644119 |
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Medicare Enrollment ID | O20190605002074 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447787528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Douglas B Moore |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1497742548 PECOS PAC ID: 2668494675 Enrollment ID: I20051219000714 |
Provider Name | Charles A Gaputis |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437132685 PECOS PAC ID: 5294738175 Enrollment ID: I20060814000566 |
Provider Name | David W Purner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083623987 PECOS PAC ID: 5698771053 Enrollment ID: I20061009000306 |
Provider Name | April D Seay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073533717 PECOS PAC ID: 0941202204 Enrollment ID: I20070215000459 |
Provider Name | Randall Dearment |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1538146055 PECOS PAC ID: 4284623539 Enrollment ID: I20110811000100 |
Provider Name | Neha K Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871871517 PECOS PAC ID: 9739358466 Enrollment ID: I20110812000641 |
Provider Name | Meredith Clark Belew |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801135538 PECOS PAC ID: 8022255454 Enrollment ID: I20130502000290 |
Provider Name | Amanda Qualls |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699163014 PECOS PAC ID: 2860719002 Enrollment ID: I20150326001556 |
Provider Name | Abigail L Brock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912339516 PECOS PAC ID: 9830402106 Enrollment ID: I20150715001038 |
Provider Name | Janice Leigh Pearson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265916324 PECOS PAC ID: 9739424987 Enrollment ID: I20181217003133 |
Provider Name | Ashley Bailes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538790027 PECOS PAC ID: 1254769409 Enrollment ID: I20200321000437 |
Provider Name | Kaitlyn Wendolowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033728100 PECOS PAC ID: 4981020914 Enrollment ID: I20200820001692 |
Provider Name | Tammy Mcwhirter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710517206 PECOS PAC ID: 4082615828 Enrollment ID: I20200930000304 |
Provider Name | Monica Stover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396405544 PECOS PAC ID: 6204870546 Enrollment ID: I20230605000172 |
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