| Dr Marsha D Raulerson, MD | |
|
1205 Belleville Ave, Brewton, AL 36426-1304 | |
| (251) 867-3608 | |
| (251) 867-3610 |
| Full Name | Dr Marsha D Raulerson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1205 Belleville Ave, Brewton, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063493690 | NPI | - | NPPES |
| 541393901 | Medicaid | AL | |
| 911084400 | Medicaid | FL | |
| 51009768 | Other | AL | BC/BS OF ALABAMA |
| 000009768 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4469 (Alabama) | Primary |
| Entity Name | Franklin Primary Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679532303 PECOS PAC ID: 1658356308 Enrollment ID: O20040618000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marsha D Raulerson, MD 1205 Belleville Ave, Brewton, AL 36426-1304 Ph: (251) 867-3608 | Dr Marsha D Raulerson, MD 1205 Belleville Ave, Brewton, AL 36426-1304 Ph: (251) 867-3608 |
Mrs. Ann W. Lambert, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1205 Belleville Ave, Brewton, AL 36426 Phone: 251-867-3608 Fax: 251-867-3610 | |
Dr. Marina Lynn Thompson, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1121 Belleville Ave, Brewton, AL 36426 Phone: 251-867-6071 Fax: 251-809-6051 | |
Dr. Paul Anthony Loduca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1121 Belleville Ave, Brewton, AL 36426 Phone: 251-809-3240 | |
Audrey C. Guthrie, PA-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1205 Belleville Ave, Brewton, AL 36426 Phone: 251-867-3608 Fax: 251-867-3610 |