| Dr Anthony Roland Spedale Jr, MD | |
|
210 Westside Dr, Dothan, AL 36303-1928 | |
| (334) 793-5074 | |
| (334) 793-6460 |
| Full Name | Dr Anthony Roland Spedale Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 210 Westside Dr, Dothan, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699778662 | NPI | - | NPPES |
| 110221409 | Other | RAILROAD MEDICARE | |
| 051550636 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24418 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 22862 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Dale Medical Center | Ozark, AL | Hospital |
| Northwest Florida Community Hospital | Chipley, FL | Hospital |
| Entity Name | Spedale Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184273096 PECOS PAC ID: 3779815477 Enrollment ID: O20191030000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Roland Spedale Jr, MD 3113 Wesley Way Ste 1, Dothan, AL 36305-2004 Ph: (334) 699-5123 | Dr Anthony Roland Spedale Jr, MD 210 Westside Dr, Dothan, AL 36303-1928 Ph: (334) 793-5074 |
Meagan Self Hoggle, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Parks Winfield Pratt Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Nikki Ilona Broussard, CRNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
Jeffrey John Crittenden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 |