| Dr Leslie Vaughan Rush Iii, DO | |
|
341 Greeno Rd N, Fairhope, AL 36532-2979 | |
| (251) 928-2401 | |
| (251) 928-5099 |
| Full Name | Dr Leslie Vaughan Rush Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 28 Years |
| Location | 341 Greeno Rd N, Fairhope, 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 |
|---|---|---|---|
| 1518935881 | NPI | - | NPPES |
| 285140 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | DO.562 (Alabama) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | PM.1241 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Hospital | Fairhope, AL | Hospital |
| South Baldwin Regional Medical Center | Foley, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Orthopaedic Alliance Pllc | 2365800604 | 98 |
| Entity Name | Bayside Orthopedic & Rehabilitation Center Pc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215014097 PECOS PAC ID: 3779561410 Enrollment ID: O20040709000846 |
| Entity Name | Imc -gulf Orthopaedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639753171 PECOS PAC ID: 6204236946 Enrollment ID: O20210616003444 |
| Entity Name | Southern Orthopaedic Alliance Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588364228 PECOS PAC ID: 2365800604 Enrollment ID: O20230620001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie Vaughan Rush Iii, DO 1720 Spring Hill Ave Ste 3, Mobile, AL 36604-1410 Ph: () - | Dr Leslie Vaughan Rush Iii, DO 341 Greeno Rd N, Fairhope, AL 36532-2979 Ph: (251) 928-2401 |
Alex Nathaniel Hendricks, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Pirate Dr, Fairhope, AL 36532 Phone: 251-928-8309 |