| Dr Glen A Gabrielson, MD | |
|
1891 Honeysuckle Rd, Ste C2, Dothan, AL 36305 | |
| (334) 794-6504 | |
| (334) 793-4452 |
| Full Name | Dr Glen A Gabrielson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1891 Honeysuckle Rd, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912956590 | NPI | - | NPPES |
| 000015369 | Medicaid | AL | |
| 51523143 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00012449 (Alabama) | Primary |
| Entity Name | Southland Hospitalist Services At Eufaula, Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235381468 PECOS PAC ID: 0446311484 Enrollment ID: O20081209000248 |
| Entity Name | Northern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669618310 PECOS PAC ID: 0143379388 Enrollment ID: O20090519000375 |
| Entity Name | The Health Care Authority Of The City Of Eufaula |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730692641 PECOS PAC ID: 9335407659 Enrollment ID: O20180619000582 |
| Entity Name | Dothan Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003403569 PECOS PAC ID: 7214346303 Enrollment ID: O20210430001055 |
| Entity Name | Southland 806 Hospitalist Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033803424 PECOS PAC ID: 3779932611 Enrollment ID: O20231218001564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen A Gabrielson, MD 1891 Honeysuckle Rd, Ste C2, Dothan, AL 36305 Ph: (334) 794-6504 | Dr Glen A Gabrielson, MD 1891 Honeysuckle Rd, Ste C2, Dothan, AL 36305 Ph: (334) 794-6504 |
Gaynel Barry Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1206 Columbia Hwy, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901 | |
Dr. James R Staheli, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Dr. Carlos Stanford Clark Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Doctors Drive, Dothan, AL 36301 Phone: 334-794-6612 Fax: 334-794-6614 | |
Ryan Shingler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Westgate Pkwy, Dothan, AL 36303 Phone: 334-793-9595 Fax: 334-793-6984 | |
Dr. Jason Alan Zacks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Fairview Ave, Dothan, AL 36301 Phone: 334-678-1400 Fax: 334-678-1432 | |
Mr. Jackie Steve Sherrer Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Westgate Pkwy, Dothan, AL 36303 Phone: 334-793-2120 Fax: 334-671-0228 | |
Mrs. Tori Christian Harrison, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-794-8656 Fax: 334-702-7047 |