| Megan Marie Doxtator, | |
|
1502 11th Ave, Phenix City, AL 36867-4905 | |
| (334) 560-5393 | |
| (334) 560-5242 |
| Full Name | Megan Marie Doxtator |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 1502 11th Ave, Phenix City, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447809561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4306C (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccp Clinic Llc | 7214394022 | 4 |
| Entity Name | Ccp Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396431714 PECOS PAC ID: 7214394022 Enrollment ID: O20230609002780 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Marie Doxtator, Po Box 97, Gadsden, AL 35902-0097 Ph: (256) 492-0131 | Megan Marie Doxtator, 1502 11th Ave, Phenix City, AL 36867-4905 Ph: (334) 560-5393 |
Mr. Kurt M Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1606 Broad St, Phenix City, AL 36867 Phone: 334-480-8888 | |
Elizabeth Parks, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 146 Lee Road 2144, Phenix City, AL 36870 Phone: 706-392-3033 | |
Nathan Shrader, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3170 Martin Luther King Jr Pkwy S, Phenix City, AL 36869 Phone: 334-298-2405 Fax: 334-742-2840 | |
Mary Edna Wanda Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 819 Lee Road 219, Phenix City, AL 36870 Phone: 706-761-6885 | |
Erica Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 11th Ave, Phenix City, AL 36867 Phone: 334-560-5393 | |
Miss Felicia Bennett, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Sommerset Dr, Phenix City, AL 36869 Phone: 334-520-7319 |