Mitchell C. Shirah M.d. P.c. | |
59664 Highway 22 Roanoke AL 36274-4438 | |
(334) 863-8951 | |
(334) 863-2361 |
Full Name | Mitchell C. Shirah M.d. P.c. |
---|---|
Speciality | Family Medicine |
Location | 59664 Highway 22, Roanoke, Alabama |
Authorized Official Name and Position | Stephanie Lynn Estes (OFFICE MANAGER) |
Authorized Official Contact | 3348638951 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mitchell C. Shirah M.d. P.c. 59664 Highway 22 Roanoke AL 36274-4438 Ph: (334) 863-8951 | Mitchell C. Shirah M.d. P.c. 59664 Highway 22 Roanoke AL 36274-4438 Ph: (334) 863-8951 |
NPI Number | 1265603351 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 09/09/2013 |
Medicare PECOS PAC ID | 9133185838 |
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Medicare Enrollment ID | O20041204000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265603351 | NPI | - | NPPES |
DC5335 | Other | AL | RAILROAD MEDICARE |
5299921880 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9705 (Alabama) | Primary |
Provider Name | Mitchell C Shirah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902889371 PECOS PAC ID: 4981688033 Enrollment ID: I20040616000164 |
Tanner Primary Care Of Roanoke Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 965 Highway 431, Roanoke, AL 36274 Phone: 334-863-2141 Fax: 334-863-8733 | |
Southern Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Medical Dr, Suite 7, Roanoke, AL 36274 Phone: 334-863-2311 Fax: 334-863-5596 | |
J Melburn D Holmes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Medical Dr, Ste 7, Roanoke, AL 36274 Phone: 334-863-5262 Fax: 334-863-5264 | |
Roanoke Rural Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Price St, Roanoke, AL 36274 Phone: 334-863-3229 Fax: 334-863-5596 | |
Roanoke Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 469 Price St, Roanoke, AL 36274 Phone: 334-863-2311 Fax: 334-863-5596 | |
Randolph Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 965 Us Hwy 431, Roanoke, AL 36274 Phone: 334-863-2141 Fax: 334-863-8733 |