| Dr Darrel Alexander Ceballos, DO | |
|
1900 Fairview Ave, Dothan, AL 36301-3099 | |
| (334) 793-9511 | |
| (334) 794-6412 |
| Full Name | Dr Darrel Alexander Ceballos |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 1900 Fairview Ave, 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 |
|---|---|---|---|
| 1194111245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DO.1634 (Alabama) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | DO.1634 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Flowers Hospital | Dothan, AL | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Dale Medical Center | Ozark, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Dothan Pc | 2163465147 | 18 |
| Entity Name | Radiology Associates Of Dothan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083697718 PECOS PAC ID: 2163465147 Enrollment ID: O20050610000108 |
| Entity Name | Usa Health Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
| Entity Name | Usa Health Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871150508 PECOS PAC ID: 9931436912 Enrollment ID: O20200125000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darrel Alexander Ceballos, DO 1900 Fairview Ave, Dothan, AL 36301-3099 Ph: (334) 793-9511 | Dr Darrel Alexander Ceballos, DO 1900 Fairview Ave, Dothan, AL 36301-3099 Ph: (334) 793-9511 |
Eric C Lund, MD Radiology Medicare: Medicare Enrolled Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Sibley N Turner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-6412 | |
Elizabeth Parker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 | |
George W Veale, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Julia A Alexander, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Ricardo Syklawer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 |