| Dr Bethany Johnson Nemati, MD | |
|
506 Harley St, Scottsboro, AL 35768-4219 | |
| (256) 259-1234 | |
| (256) 259-6838 |
| Full Name | Dr Bethany Johnson Nemati |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 506 Harley St, Scottsboro, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841859287 | NPI | - | NPPES |
| 1083955173 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 44085 (Alabama) | Secondary |
| 208000000X | Pediatrics | LL82798 (South Carolina) | Primary |
| Entity Name | Valley Head Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790004836 PECOS PAC ID: 0941326888 Enrollment ID: O20100928001066 |
| Entity Name | Horizon Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588904791 PECOS PAC ID: 6406092972 Enrollment ID: O20130429000634 |
| Entity Name | Premier Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083955173 PECOS PAC ID: 7012155609 Enrollment ID: O20130520000728 |
| Entity Name | Valley Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063948891 PECOS PAC ID: 0345512968 Enrollment ID: O20171023002583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bethany Johnson Nemati, MD 506 Harley St, Scottsboro, AL 35768-4219 Ph: (256) 259-1234 | Dr Bethany Johnson Nemati, MD 506 Harley St, Scottsboro, AL 35768-4219 Ph: (256) 259-1234 |
Muhammad Amjad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1508 S Broad St Ste 300, Scottsboro, AL 35768 Phone: 256-259-3600 Fax: 256-259-3601 | |
Dr. Benjamin Freeman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Jonathan Wallace Gurr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T. Reid Pkwy, Scottsboro, AL 35769 Phone: 256-997-5900 Fax: 256-997-5995 | |
Dr. Bradley Daily Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Dr. Dennis John Basila, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Dr. Ethan Baruch Ruben, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 508 Harley St, Suite C, Scottsboro, AL 35768 Phone: 256-259-5537 Fax: 256-259-3189 | |
Dr. Olivia Elliott Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 |