| Dr John Grant Wideman, MD | |
|
1948 Al Highway 157, Cullman, AL 35058-0642 | |
| (256) 735-5277 | |
| (256) 203-8626 |
| Full Name | Dr John Grant Wideman |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 1948 Al Highway 157, Cullman, 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 |
|---|---|---|---|
| 1336255728 | NPI | - | NPPES |
| 117937 | Medicaid | AL | |
| 118948 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 22380 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crmc Medical Group Llc | 8729419874 | 57 |
| Entity Name | Obhg Alabama, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881976520 PECOS PAC ID: 0547545923 Enrollment ID: O20170327002294 |
| Entity Name | Crmc Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467083675 PECOS PAC ID: 8729419874 Enrollment ID: O20200506000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Grant Wideman, MD Po Box 2895, Cullman, AL 35056-2895 Ph: (256) 735-5277 | Dr John Grant Wideman, MD 1948 Al Highway 157, Cullman, AL 35058-0642 Ph: (256) 735-5277 |
Randy James Yarbrough, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157 Ste 330, Cullman, AL 35058 Phone: 256-735-5277 Fax: 256-203-8626 | |
Brittany T Massengill, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157, Cullman, AL 35058 Phone: 256-735-5277 Fax: 256-203-8626 | |
Shane Lee Sheffield, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1800 Al Highway 157 Ste 302, Cullman, AL 35058 Phone: 256-736-6224 Fax: 256-736-6226 | |
Dr. Howard F. Williamson Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1800 Al Hwy 157, Ste 302, Cullman, AL 35058 Phone: 256-736-6224 Fax: 256-736-6226 | |
Virgil Thomas Baccus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1890 Al Hwy 157, Suite 220, Cullman, AL 35058 Phone: 256-739-2626 Fax: 256-739-6588 | |
Dr. Perry Lance Justice, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157 Ste 330, Cullman, AL 35058 Phone: 256-735-5125 Fax: 256-962-5446 |