| Primary Care Internists Of Montgomery, P.c. | |
|
1722 Pine St Suite 309 Montgomery AL 36106-1103 | |
| (334) 262-0342 | |
| (334) 262-0390 |
| Full Name | Primary Care Internists Of Montgomery, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1722 Pine St, Montgomery, Alabama |
| Authorized Official Name and Position | Charla Sewell (ADMINISTRATOR) |
| Authorized Official Contact | 3342620342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Internists Of Montgomery, P.c. 1722 Pine St Suite 309 Montgomery AL 36106-1103 Ph: (334) 262-0342 | Primary Care Internists Of Montgomery, P.c. 1722 Pine St Suite 309 Montgomery AL 36106-1103 Ph: (334) 262-0342 |
| NPI Number | 1306837976 |
|---|---|
| Provider Enumeration Date | 11/02/2005 |
| Last Update Date | 06/16/2015 |
| Medicare PECOS PAC ID | 9335131572 |
|---|---|
| Medicare Enrollment ID | O20040330001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306837976 | NPI | - | NPPES |
| 01D0671060 | Other | AL | CLIA CERTIFICATE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rakeshkuma R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285625442 PECOS PAC ID: 9436141686 Enrollment ID: I20040330001637 |
| Provider Name | Glenn A Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124019781 PECOS PAC ID: 4082800172 Enrollment ID: I20101202000850 |
| Provider Name | Raghu Mukkamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720079395 PECOS PAC ID: 7719173806 Enrollment ID: I20101202000933 |
| Provider Name | James T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568453124 PECOS PAC ID: 1153480983 Enrollment ID: I20101203000082 |
| Provider Name | Ana Ingeborg Tejero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043422629 PECOS PAC ID: 0749325934 Enrollment ID: I20180917001315 |
| Provider Name | Peter Krishna Krothapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285193268 PECOS PAC ID: 2769852490 Enrollment ID: I20221221001760 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |