| John Raymond Durant, MD | |
|
301 Mariarden Rd, Ste D, Dadeville, AL 36853-0129 | |
| (256) 825-7871 | |
| (256) 825-5742 |
| Full Name | John Raymond Durant |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 301 Mariarden Rd, Dadeville, 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 |
|---|---|---|---|
| 1790717858 | NPI | - | NPPES |
| 543420001 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 19640 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Martin Community Hospital | Dadeville, AL | Hospital |
| East Alabama Medical Center And Snf | Opelika, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivy Creek Of Tallapoosa Llc | 8123938719 | 9 |
| Entity Name | Ivy Creek Of Tallapoosa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
| Entity Name | Ivy Creek Family Care Of Lake Martin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609572890 PECOS PAC ID: 6103281977 Enrollment ID: O20230501000230 |
| Mailing Address | Practice Location Address |
|---|---|
| John Raymond Durant, MD Po Box 129, Dadeville, AL 36853-0129 Ph: (256) 825-7871 | John Raymond Durant, MD 301 Mariarden Rd, Ste D, Dadeville, AL 36853-0129 Ph: (256) 825-7871 |
Mr. Robert William Bartel, MD General Practice Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7164 Fax: 256-827-0808 | |
Robert Alan Schuster, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Ste D, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742 |