| Saadat Ansari, Md, Llc | |
|
201 Longwood Drive, Se Suite B Huntsville AL 35801 | |
| (256) 536-9604 | |
| (256) 536-9606 |
| Full Name | Saadat Ansari, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Longwood Drive, Se, Huntsville, Alabama |
| Authorized Official Name and Position | Saadat H Ansari (OWNER) |
| Authorized Official Contact | 2565369604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saadat Ansari, Md, Llc 201 Longwood Drive, Se Suite B Huntsville AL 35801 Ph: (256) 536-9604 | Saadat Ansari, Md, Llc 201 Longwood Drive, Se Suite B Huntsville AL 35801 Ph: (256) 536-9604 |
| NPI Number | 1548378755 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 09/04/2009 |
| Medicare PECOS PAC ID | 0941194187 |
|---|---|
| Medicare Enrollment ID | O20040210000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548378755 | NPI | - | NPPES |
| DD6592 | Other | AL | RAILROAD MEDICARE |
| 529911220 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Saadat H Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861420994 PECOS PAC ID: 8628962867 Enrollment ID: I20040213000211 |
| Provider Name | Kayla Vaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225562747 PECOS PAC ID: 0042588931 Enrollment ID: I20170619000452 |
| Provider Name | Choya Wise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578920039 PECOS PAC ID: 3476803230 Enrollment ID: I20180829002266 |
| Provider Name | Lindsey Leigh Ann Rigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700456944 PECOS PAC ID: 0547618233 Enrollment ID: I20231117002361 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
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