| Dillon Michael Tate, NURSE PRACTITIONER | |
|
1728 11th Ave, Haleyville, AL 35565-1506 | |
| (205) 465-7822 | |
| (260) 399-4004 |
| Full Name | Dillon Michael Tate |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1728 11th Ave, Haleyville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730874249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 906197 (Mississippi) | Primary |
| Entity Name | Revive Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740996636 PECOS PAC ID: 3678947793 Enrollment ID: O20230313001344 |
| Mailing Address | Practice Location Address |
|---|---|
| Dillon Michael Tate, NURSE PRACTITIONER 1728 11th Ave, Haleyville, AL 35565-1506 Ph: (205) 485-7822 | Dillon Michael Tate, NURSE PRACTITIONER 1728 11th Ave, Haleyville, AL 35565-1506 Ph: (205) 465-7822 |
Dr. William Douglas Talley Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1023 Highway 13, Haleyville, AL 35565 Phone: 334-452-5533 Fax: 205-430-2189 | |
Hank Sung Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42104 Highway 195, Haleyville, AL 35565 Phone: 205-485-7284 Fax: 205-486-1903 | |
Jeffrey Wayne Long, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42320 Highway 195, Haleyville, AL 35565 Phone: 205-486-8899 Fax: 205-486-8908 | |
Vanessa Ann Ragland, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42320 Highway 195, Haleyville, AL 35565 Phone: 205-486-8899 Fax: 205-486-8908 | |
Dr. Diana W. Warren, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 42030 Highway 195, Suite C, Haleyville, AL 35565 Phone: 205-485-7337 Fax: 205-485-7393 | |
Holly Slatton Mccaleb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 26th St, Haleyville, AL 35565 Phone: 205-486-5234 Fax: 205-486-5232 | |
Mr. Boyde J Harrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 26th Street, Haleyville, AL 35565 Phone: 205-486-5234 Fax: 205-486-5232 |