| Bonnie Blue Dulaney Hodge, MD | |
|
202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | |
| (251) 928-3844 | |
| (251) 928-3353 |
| Full Name | Bonnie Blue Dulaney Hodge |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 202 Rock Creek Pkwy, Fairhope, 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 |
|---|---|---|---|
| 1861955429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD.41773 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 568 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366936759 PECOS PAC ID: 3779471701 Enrollment ID: O20180911002840 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Blue Dulaney Hodge, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Bonnie Blue Dulaney Hodge, MD 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 Ph: (251) 928-3844 |
Laura Tucker Cepeda, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 202 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Dr. Heather R Haley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 202 Rock Creek Parkway, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Hoyt Harris Reynolds, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Dr. Brian Douglas Cheshire, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7550 Assunta Ct, Fairhope, AL 36532 Phone: 251-928-4944 Fax: 251-928-2086 | |
Dr. Robert Alan Clark, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7550 Assunta Ct, Fairhope, AL 36532 Phone: 251-928-4944 Fax: 251-928-2086 | |
Dr. Eran Gwillim, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 200 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 |