| Opp Family Medicine, P.c. | |
|
604 Brantley St Opp AL 36467-1742 | |
| (334) 493-4472 | |
| (334) 493-9849 |
| Full Name | Opp Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 604 Brantley St, Opp, Alabama |
| Authorized Official Name and Position | J Michael Stanfield (PRESIDENT) |
| Authorized Official Contact | 3344934472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opp Family Medicine, P.c. Po Box 280 Opp AL 36467-0280 Ph: (334) 493-4472 | Opp Family Medicine, P.c. 604 Brantley St Opp AL 36467-1742 Ph: (334) 493-4472 |
| NPI Number | 1891989117 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Medicare PECOS PAC ID | 5799703484 |
|---|---|
| Medicare Enrollment ID | O20051110000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891989117 | NPI | - | NPPES |
| H551 | Other | AL | MEDICARE |
| 510 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21062 (Alabama) | Primary |
| 207Q00000X | Family Medicine | 21063 (Alabama) | Secondary |
| Provider Name | Jonathan M Stanfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023195724 PECOS PAC ID: 0749244143 Enrollment ID: I20080311000408 |
| Provider Name | Kimberly Denise Hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316302748 PECOS PAC ID: 6204130917 Enrollment ID: I20160212002488 |
Kenneth J Crowe Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N Main St, Suite A, Opp, AL 36467 Phone: 334-493-2530 Fax: 334-493-3973 | |
Blissful Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Paulk Ave Ste A, Opp, AL 36467 Phone: 334-493-0311 Fax: 334-493-0355 | |
Mizell Stat Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St Ste 2, Opp, AL 36467 Phone: 334-493-5704 Fax: 334-493-9664 | |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 N Main St, Opp, AL 36467 Phone: 334-493-3240 Fax: 334-493-9535 | |
Goode Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Paulk Ave, Suite B, Opp, AL 36467 Phone: 334-493-0233 Fax: 334-493-0274 | |
Andalusia Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Us Hwy 84 West, Opp, AL 36467 Phone: 334-493-4357 Fax: 334-222-3825 |