Montevallo Family Medicine, Llc is a medicare enrolled primary clinic (Family Medicine) in Montevallo, Alabama. The current practice location for Montevallo Family Medicine, Llc is 33 Salem Rd, Suite 1, Montevallo, Alabama. For appointments, you can reach them via phone at
(205) 665-7991. The mailing address for Montevallo Family Medicine, Llc is 33 Salem Rd, Suite 1, Montevallo, Alabama and phone number is (205) 665-7991.
Montevallo Family Medicine, Llc is licensed to practice in Alabama (license number 21192). The clinic also participates in the medicare program and its
NPI number is 1720009962. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(205) 665-7991.
Primary Care Clinic Profile
| Full Name | Montevallo Family Medicine, Llc |
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| Speciality | Family Medicine |
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| Location | 33 Salem Rd, Montevallo, Alabama |
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| Authorized Official Name and Position | Jonathan C. Merkle (PHYSICIAN) |
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| Authorized Official Contact | 2056657991 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Montevallo Family Medicine, Llc
33 Salem Rd
Suite 1
Montevallo
AL 35115-3586
Ph: (205) 665-7991 | Montevallo Family Medicine, Llc
33 Salem Rd
Suite 1
Montevallo
AL 35115-3586
Ph: (205) 665-7991 |
NPI Details:
| NPI Number | 1720009962 |
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| Provider Enumeration Date | 07/22/2006 |
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| Last Update Date | 11/07/2011 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5496944092 |
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| Medicare Enrollment ID | O20110113000291 |
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Medical Identifiers
Medical identifiers for Montevallo Family Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720009962 | NPI | - | NPPES |
| 529911870 | Medicaid | AL | |
| 51517997 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 21192 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Montevallo Family Medicine, Llc acts as a billing entity for following providers:
| Provider Name | Jonathan C Merkle |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1720064058
PECOS PAC ID: 1153510748
Enrollment ID: I20110113000254 |
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