| Gustavo R Heudebert, MD | |
|
2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 | |
| (334) 284-5211 | |
| (334) 284-9020 |
| Full Name | Gustavo R Heudebert |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2055 E South Blvd Ste 202, Montgomery, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225064298 | NPI | - | NPPES |
| 000025535 | Other | AL | BLUE CROSS |
| 110123736 | Other | AL | RAILROAD MEDICARE |
| 20604 | Other | AL | HEALTHSPRING OF ALABAMA |
| 000045092 | Medicaid | AL | |
| 000045092 | Other | AL | BLUE CROSS |
| 000025535 | Medicaid | AL | |
| F07687 | Other | AL | VIVA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19069 (Alabama) | Primary |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | University Of Alabama At Birmingham |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323 |
| Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo R Heudebert, MD 2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 Ph: (334) 284-5211 | Gustavo R Heudebert, MD 2055 E South Blvd Ste 202, Montgomery, AL 36116-2002 Ph: (334) 284-5211 |
Dr. Jack Parmer Evans, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 E South Blvd, Montgomery, AL 36116 Phone: 334-281-8008 Fax: 334-281-0090 | |
Dr. Shyam Padmanabhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 E South Blvd Ste 403, Montgomery, AL 36116 Phone: 334-613-0807 | |
Dr. April A Truett, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Vivian G Hamlett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 440 Taylor Rd, Suite 3200, Montgomery, AL 36117 Phone: 334-213-6281 Fax: 334-213-6288 | |
Monjurul Islam, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-272-4670 | |
Mohammad-ehsan Owrangi, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St Ste 202, Montgomery, AL 36106 Phone: 412-359-3166 Fax: 412-359-8164 | |
Jacquelin Ratunil Chua, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1722 Pine St, Montgomery, AL 36106 Phone: 334-293-8000 |