| Dr Jack R Perry, MD | |
|
Walker Baptist Hospital, 3400 Hwy 78 E, Jasper, AL 35501 | |
| (205) 387-4000 | |
| Not Available |
| Full Name | Dr Jack R Perry |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | Walker Baptist Hospital, Jasper, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851399877 | NPI | - | NPPES |
| 64347339 | Medicaid | KY | |
| P01183981 | Other | KY | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34733 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 036.138175 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036.138175 (Illinois) | Primary |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack R Perry, MD Walker Baptist Hospital, 3400 Hwy 78 E, Jasper, AL 35501 Ph: (205) 387-4000 | Dr Jack R Perry, MD Walker Baptist Hospital, 3400 Hwy 78 E, Jasper, AL 35501 Ph: (205) 387-4000 |
Khurram Mirza, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4401 | |
Ben E Parrish, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4401 Fax: 205-387-4717 | |
Michael M. Garcia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Highway 78 E Ste A, Jasper, AL 35501 Phone: 256-705-4224 Fax: 256-705-4135 | |
Dr. Steve D Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 19th St E, Jasper, AL 35501 Phone: 205-221-1516 Fax: 205-387-9539 | |
Dr. Sonja Pettus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Jones Dairy Rd, Bldg 700, Jasper, AL 35501 Phone: 205-295-4200 Fax: 205-295-4201 | |
Dr. Michael Hugh Brasfield, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1450 Jones Dairy Rd., Bldg 400, Jasper, AL 35501 Phone: 205-221-0562 Fax: 205-221-0564 | |
William Michael Hall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4401 |