| Dr Montgomery C Peden, MD | |
|
101 Professional Lane, Enterprise, AL 36330 | |
| (334) 347-3404 | |
| (334) 693-0613 |
| Full Name | Dr Montgomery C Peden |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 101 Professional Lane, Enterprise, 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 |
|---|---|---|---|
| 1851349179 | NPI | - | NPPES |
| 000028378 | Medicaid | AL | |
| 51028378 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00011984 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Dale Medical Center | Ozark, AL | Hospital |
| Flowers Hospital | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston County Healthcare Authority | 9436062296 | 226 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Montgomery C Peden, MD 101 Professional Lane, Enterprise, AL 36330 Ph: (334) 347-3404 | Dr Montgomery C Peden, MD 101 Professional Lane, Enterprise, AL 36330 Ph: (334) 347-3404 |
Dr. Mark Brian Ellis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1018 Rucker Blvd, Ste A, Enterprise, AL 36330 Phone: 334-347-4343 Fax: 334-393-9611 | |
Dr. Walter J Lawrence, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 551 Glover Ave, Enterprise, AL 36330 Phone: 334-475-2058 Fax: 334-489-4308 | |
Mary Leona Walch Pippin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 | |
Beverly F Jordan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
Dr. Richard Allen Roller, MD, PHD Family Medicine Medicare: Medicare Enrolled Practice Location: 805 E Lee St, Suite C, Enterprise, AL 36330 Phone: 334-348-8818 Fax: 334-393-8773 | |
Mrs. Leeann Mcaliley Kettunen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
Whitni Michael Richard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 |