| Dr Manci M Balas Hoesley, MD | |
|
3735 Corporate Woods Dr Ste 105, Vestavia, AL 35242-2296 | |
| (205) 900-7337 | |
| (855) 583-3156 |
| Full Name | Dr Manci M Balas Hoesley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3735 Corporate Woods Dr Ste 105, Vestavia, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477522175 | NPI | - | NPPES |
| 051022734 | Other | AL | BLUE SHIELD |
| 303730278 | Medicaid | AL | |
| 051519831 | Other | AL | BLUE SHIELD |
| 303720278 | Medicaid | AL | |
| 303740278 | Medicaid | AL | |
| 051034755 | Other | AL | BLUE SHIELD |
| 051539291 | Other | AL | BLUE SHIELD |
| 051034754 | Other | AL | BLUE SHIELD |
| 303790278 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 00017481 (Alabama) | Primary |
| Entity Name | Your Kids Urgent Care Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306404777 PECOS PAC ID: 8628404126 Enrollment ID: O20200131000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manci M Balas Hoesley, MD 3735 Corporate Woods Dr Ste 105, Vestavia, AL 35242-2296 Ph: (205) 900-7337 | Dr Manci M Balas Hoesley, MD 3735 Corporate Woods Dr Ste 105, Vestavia, AL 35242-2296 Ph: (205) 900-7337 |
Lisa Frees, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2409 Acton Rd Ste 171, Vestavia, AL 35243 Phone: 205-978-8245 Fax: 205-978-8249 | |
Elizabeth Mccurdy Crum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1936 Old Orchard Rd, Vestavia, AL 35216 Phone: 205-978-3200 |