| River Region Family Medicine, Llc | |
|
277 Huntress Street Suite 100 Wetumpka AL 36092 | |
| (334) 567-4311 | |
| Not Available |
| Full Name | River Region Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 277 Huntress Street, Wetumpka, Alabama |
| Authorized Official Name and Position | Michael D Bruce (CEO) |
| Authorized Official Contact | 2566750412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Region Family Medicine, Llc Po Box 130 Wetumpka AL 36092-0003 Ph: (334) 567-4311 | River Region Family Medicine, Llc 277 Huntress Street Suite 100 Wetumpka AL 36092 Ph: (334) 567-4311 |
| NPI Number | 1578195525 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 2163853151 |
|---|---|
| Medicare Enrollment ID | O20200506002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578195525 | NPI | - | NPPES |
| 120559 | Medicaid | AL | |
| APPLIED | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeana Ann Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811206386 PECOS PAC ID: 8123216645 Enrollment ID: I20101228000956 |
| Provider Name | Spencer Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629011770 PECOS PAC ID: 3375714421 Enrollment ID: I20110921000187 |
| Provider Name | Martin A Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356640379 PECOS PAC ID: 8325213226 Enrollment ID: I20111205000275 |
| Provider Name | Mary B Labriola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124387659 PECOS PAC ID: 0941464309 Enrollment ID: I20120614000579 |
| Provider Name | Brandy T Laurenzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609178714 PECOS PAC ID: 2668619792 Enrollment ID: I20130509000490 |
| Provider Name | Darcy P Blankenship |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881176964 PECOS PAC ID: 8224467451 Enrollment ID: I20200408004561 |
| Provider Name | Haley B Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770268138 PECOS PAC ID: 7416303664 Enrollment ID: I20231025001191 |
Ronaldo V Dejesus, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74186 Tallassee Hwy, Wetumpka, AL 36092 Phone: 334-567-0346 Fax: 334-567-0855 | |
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Wetumpka Family Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 Jackson Trace Rd, Wetumpka, AL 36092 Phone: 334-567-2882 Fax: 334-567-3361 | |
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River Region Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Cambridge Ct, Wetumpka, AL 36093 Phone: 334-567-3309 Fax: 334-567-3361 | |
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