| Selma Family Care Pc | |
|
Selma Family Care, Pc 203 Vaughan Memorial Drive Selma AL 36701-6950 | |
| (334) 375-8007 | |
| Not Available |
| Full Name | Selma Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | Selma Family Care, Pc, Selma, Alabama |
| Authorized Official Name and Position | Sean B Bohannon (OWNER/) |
| Authorized Official Contact | 3343758007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selma Family Care Pc Po Box 570 Selma AL 36702-0570 Ph: (334) 375-8007 | Selma Family Care Pc Selma Family Care, Pc 203 Vaughan Memorial Drive Selma AL 36701-6950 Ph: (334) 375-8007 |
| NPI Number | 1750870812 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Medicare PECOS PAC ID | 1951654763 |
|---|---|
| Medicare Enrollment ID | O20181024002986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750870812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tamarah H Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104867837 PECOS PAC ID: 1153415542 Enrollment ID: I20070917000043 |
| Provider Name | Sean B Bohannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881851491 PECOS PAC ID: 2961689518 Enrollment ID: I20110712000058 |
| Provider Name | Lauren J Wendland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901076 PECOS PAC ID: 2961806740 Enrollment ID: I20210802003398 |
Selma Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Medical Center Pkwy, Selma, AL 36701 Phone: 334-875-2640 Fax: 334-875-2645 | |
Cyriac Madathikunnel, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy, Frist Howell Building # 3, Selma, AL 36701 Phone: 334-872-3339 Fax: 334-872-6200 | |
Vaughan Medical Specialty Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701 Phone: 334-418-6656 Fax: 334-418-6657 | |
Davis Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 Dallas Ave, Selma, AL 36701 Phone: 334-874-0017 Fax: 334-872-6563 | |
Traditions Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3005 Citizens Pkwy, Selma, AL 36701 Phone: 334-418-0566 | |
Vaughan Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy Bldg 2, Selma, AL 36701 Phone: 334-418-4113 Fax: 334-418-3599 | |
Das & Das M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 Medical Center Pkwy, Medical Arts Building Ii, Selma, AL 36701 Phone: 334-875-2266 Fax: 334-875-2277 |