| Dr Frine T Roca, MD | |
|
205 Grand Ave Nw, Ste B, Fort Payne, AL 35967-2107 | |
| (256) 979-1515 | |
| (256) 979-1517 |
| Full Name | Dr Frine T Roca |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 205 Grand Ave Nw, Fort Payne, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265487185 | NPI | - | NPPES |
| 51003773 | Other | AL | BCBS |
| 541385602 | Medicaid | AL | |
| 051557587 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 00016324 (Alabama) | Primary |
| Entity Name | Horizon Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952659419 PECOS PAC ID: 2264682533 Enrollment ID: O20121022000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frine T Roca, MD 205 Grand Ave Nw, Ste B, Fort Payne, AL 35967-2107 Ph: (256) 979-1515 | Dr Frine T Roca, MD 205 Grand Ave Nw, Ste B, Fort Payne, AL 35967-2107 Ph: (256) 979-1515 |
Robert Mike Story, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9546 | |
Angela E Chaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9546 | |
David Allen Atchley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-3121 Fax: 256-845-9759 | |
Austin Lively, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1359 Old Water Works Rd Sw, Fort Payne, AL 35968 Phone: 256-997-5900 Fax: 888-977-1691 |