| Dr Russell Dean Ulrich, DO | |
|
25 Roundtree Dr, Piedmont, AL 36272-5893 | |
| (256) 447-9045 | |
| (256) 447-9040 |
| Full Name | Dr Russell Dean Ulrich |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 25 Roundtree Dr, Piedmont, 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 |
|---|---|---|---|
| 1407850126 | NPI | - | NPPES |
| 000010742 | Medicaid | AL | |
| 510-10742 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | DO 47 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southerncare New Beacon Of Anniston | Anniston, AL | Hospice |
| Cherokee Medical Center | Centre, AL | Hospital |
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Gadsden Regional Medical Center | Gadsden, AL | Hospital |
| Piedmont Health Care Center | Piedmont, AL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Family Practice Center Pc | 1153490487 | 2 |
| Entity Name | Piedmont Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700943602 PECOS PAC ID: 1153490487 Enrollment ID: O20080513000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Dean Ulrich, DO 25 Roundtree Dr, Piedmont, AL 36272-5893 Ph: (256) 447-9045 | Dr Russell Dean Ulrich, DO 25 Roundtree Dr, Piedmont, AL 36272-5893 Ph: (256) 447-9045 |
Sabre Lindsey, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 County Road 33, Piedmont, AL 36272 Phone: 706-506-2382 | |
Nolan D Ulrich, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Roundtree Dr, Piedmont, AL 36272 Phone: 256-447-9045 Fax: 256-447-9040 |