| Thomas D Bianchi M.d.p.a. | |
|
80 Herren Hill Rd Suite E Tallassee AL 36078-1263 | |
| (334) 283-3862 | |
| (334) 283-3871 |
| Full Name | Thomas D Bianchi M.d.p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Herren Hill Rd, Tallassee, Alabama |
| Authorized Official Name and Position | Thomas D Bianchi (OWNER) |
| Authorized Official Contact | 3342833862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Bianchi M.d.p.a. 80 Herren Hill Rd Suite E Tallassee AL 36078-1263 Ph: (334) 283-3862 | Thomas D Bianchi M.d.p.a. 80 Herren Hill Rd Suite E Tallassee AL 36078-1263 Ph: (334) 283-3862 |
| NPI Number | 1740484211 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 06/13/2011 |
| Medicare PECOS PAC ID | 5799963104 |
|---|---|
| Medicare Enrollment ID | O20110706000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740484211 | NPI | - | NPPES |
| 529912510 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 8344 (Alabama) | Primary |
| Provider Name | Thomas Deverell Bianchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306818232 PECOS PAC ID: 8224216635 Enrollment ID: I20110706000318 |
Community Medical Arts Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3156 | |
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