| Wecare Family Practice Clinic Llc | |
|
6521 Highway 69 S Ste M Tuscaloosa AL 35405-6498 | |
| (205) 764-5162 | |
| (205) 764-5187 |
| Full Name | Wecare Family Practice Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6521 Highway 69 S Ste M, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Remona L Peterson (OWNER) |
| Authorized Official Contact | 2057645162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wecare Family Practice Clinic Llc 6521 Highway 69 S Ste M Tuscaloosa AL 35405-6498 Ph: (205) 764-5162 | Wecare Family Practice Clinic Llc 6521 Highway 69 S Ste M Tuscaloosa AL 35405-6498 Ph: (205) 764-5162 |
| NPI Number | 1548724297 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 05/15/2019 |
| Medicare PECOS PAC ID | 4880936103 |
|---|---|
| Medicare Enrollment ID | O20190506002614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548724297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Remona L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056026 PECOS PAC ID: 1850617259 Enrollment ID: I20170928002276 |
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