| Jo Lynne Herzog, MD | |
|
1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216-2750 | |
| (053) 790-9002 | |
| (205) 206-6576 |
| Full Name | Jo Lynne Herzog |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 42 Years |
| Location | 1360 Montgomery Hwy Ste 114, Vestavia Hills, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295828309 | NPI | - | NPPES |
| 515-12103 | Other | AL | BC BS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 00013828 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alabama Skin Cancer And Aesthetic Center Llc | 1153850607 | 4 |
| Entity Name | Brookwood Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487663266 PECOS PAC ID: 4284523069 Enrollment ID: O20040311000242 |
| Entity Name | Alabama Skin Cancer & Aesthetic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508673773 PECOS PAC ID: 1153850607 Enrollment ID: O20250128004258 |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Lynne Herzog, MD 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216-2750 Ph: (205) 379-0900 | Jo Lynne Herzog, MD 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216-2750 Ph: (053) 790-9002 |
Daniel Bergman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216 Phone: 205-379-0900 | |
Dr. Marilyn Zabielinski, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 790 Montgomery Hwy Ste 108, Studio 125, Vestavia Hills, AL 35216 Phone: 205-882-3348 |