Piedmont Family Practice Center Pc is a medicare enrolled primary clinic (Family Medicine) in Piedmont, Alabama. The current practice location for Piedmont Family Practice Center Pc is 25 Roundtree Dr, Piedmont, Alabama. For appointments, you can reach them via phone at
(256) 447-9045. The mailing address for Piedmont Family Practice Center Pc is Po Box 450, Piedmont, Alabama and phone number is (256) 447-9045.
Piedmont Family Practice Center Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1700943602. 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
(256) 447-9045.
Primary Care Clinic Profile
| Full Name | Piedmont Family Practice Center Pc |
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| Speciality | Family Medicine |
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| Location | 25 Roundtree Dr, Piedmont, Alabama |
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| Authorized Official Name and Position | Russell Dean Ulrich (PRESIDENT) |
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| Authorized Official Contact | 2564479045 |
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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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Piedmont Family Practice Center Pc
Po Box 450
Piedmont
AL 36272-0450
Ph: (256) 447-9045 | Piedmont Family Practice Center Pc
25 Roundtree Dr
Piedmont
AL 36272-5893
Ph: (256) 447-9045 |
NPI Details:
| NPI Number | 1700943602 |
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| Provider Enumeration Date | 01/02/2007 |
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| Last Update Date | 01/28/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1153490487 |
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| Medicare Enrollment ID | O20080513000382 |
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Medical Identifiers
Medical identifiers for Piedmont Family Practice Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700943602 | NPI | - | NPPES |
| 528602460 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | DO-47 (Alabama) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Piedmont Family Practice Center Pc acts as a billing entity for following providers:
| Provider Name | Russell D Ulrich |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1407850126
PECOS PAC ID: 8224107552
Enrollment ID: I20080513000396 |
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| Provider Name | Nolan D Ulrich |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1659452209
PECOS PAC ID: 0941379283
Enrollment ID: I20080513000407 |
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