| Dr Linda Alic, MD | |
|
350 Dover Ln, Roanoke, TX 76262-1149 | |
| (815) 353-3900 | |
| Not Available |
| Full Name | Dr Linda Alic |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 350 Dover Ln, Roanoke, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235197161 | NPI | - | NPPES |
| 036066189 | Other | IL | STATE LICENSE |
| 69385-20 | Other | WI | STATE WISCONSIN |
| G173929 | Other | CA | STATE LICENSE |
| MD46488 | Other | IA | STATE LICENSE |
| 64406. | Other | TN | STATE LICENSE |
| D0090539 | Other | MD | STATE LICENSE |
| 62578 | Other | AZ | STATE LICENSE |
| EM0001017 | Other | MI | STATE LICENSE |
| MD187493 | Other | OR | STATE LICENSE |
| 328328 | Other | LA | STATE LICENSE |
| MD86840 | Other | SC | STATE LICENSE |
| 88833 | Other | GA | STATE LICENSE |
| CDR0000420 | Other | CO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036066189 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Linda Alic, MD 101 Mission St Ste 800, San Francisco, CA 94105-1744 Ph: (415) 231-5333 | Dr Linda Alic, MD 350 Dover Ln, Roanoke, TX 76262-1149 Ph: (815) 353-3900 |
Ayorinde Olatokunbo Ogunbameru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Solana Blvd Ste 2200, Roanoke, TX 76262 Phone: 817-693-5486 Fax: 817-717-6569 | |
Dr. Zachary Wade Marshall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N Oak St Unit B, Roanoke, TX 76262 Phone: 682-593-9355 Fax: 608-713-8024 |