| Skye Health Llc | |
|
7212 Copperfield Dr Montgomery AL 36117-7100 | |
| (334) 647-1444 | |
| Not Available |
| Full Name | Skye Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7212 Copperfield Dr, Montgomery, Alabama |
| Authorized Official Name and Position | Robert Tate (CEO) |
| Authorized Official Contact | 3346471444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skye Health Llc 7212 Copperfield Dr Montgomery AL 36117-7100 Ph: (334) 647-1444 | Skye Health Llc 7212 Copperfield Dr Montgomery AL 36117-7100 Ph: (334) 647-1444 |
| NPI Number | 1104578434 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 6103208582 |
|---|---|
| Medicare Enrollment ID | O20220802000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104578434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce S Trippe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700936200 PECOS PAC ID: 5496783144 Enrollment ID: I20100831000751 |
| Provider Name | Ashley D D'elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013259316 PECOS PAC ID: 5698905073 Enrollment ID: I20140304001546 |
| Provider Name | Ramona Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508529736 PECOS PAC ID: 2163805086 Enrollment ID: I20220810001093 |
| Provider Name | Beverly A Gayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957180 PECOS PAC ID: 3375900939 Enrollment ID: I20230613002062 |
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