| Dr Elena M Llivina, MD | |
|
2000 Stonegate Trl, Suite 112, Birmingham, AL 35242-2246 | |
| (205) 977-9876 | |
| (205) 977-9876 |
| Full Name | Dr Elena M Llivina |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2000 Stonegate Trl, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144389586 | NPI | - | NPPES |
| 510-66652 | Other | AL | BCBS AL HSV |
| 510-66644 | Other | AL | BCBS AL BHAM |
| 510-66647 | Other | AL | BCBS AL MGM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 062913 (Georgia) | Secondary |
| 207N00000X | Dermatology | 29784 (Alabama) | Primary |
| Entity Name | Ssd, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134700131 PECOS PAC ID: 2163821448 Enrollment ID: O20210519001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elena M Llivina, MD 2000 Stonegate Trl, Suite 112, Birmingham, AL 35242-2246 Ph: (205) 977-9876 | Dr Elena M Llivina, MD 2000 Stonegate Trl, Suite 112, Birmingham, AL 35242-2246 Ph: (205) 977-9876 |
Callie Roberts Hill, Dermatology Medicare: Medicare Enrolled Practice Location: 1927 1st Ave N, Birmingham, AL 35203 Phone: 205-933-0987 Fax: 205-930-1750 | |
Carly Elston, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 22nd St S, Birmingham, AL 35233 Phone: 205-934-9999 | |
Tiffany Mayo, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Carlton Phillips, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2100 16th Ave S, Birmingham, AL 35205 Phone: 205-933-0987 Fax: 205-930-1758 | |
Katherine Flanagan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 813 Shades Creek Pkwy, Suite 205, Birmingham, AL 35209 Phone: 205-578-1799 Fax: 205-578-3158 | |
Mr. Corey Louis Hartman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3415 Independence Drive, Suite 200, Birmingham, AL 35209 Phone: 205-871-7332 Fax: 205-871-7336 | |
Dr. R Rex Payne, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235 Phone: 205-838-1811 Fax: 205-838-5958 |