| Kathryn Peilen, MD | |
|
600 S 3rd St, Gadsden, AL 35901-5304 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Kathryn Peilen |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 600 S 3rd St, Gadsden, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457390064 | NPI | - | NPPES |
| 009910948 | Medicaid | AL | |
| 009924280 | Medicaid | AL | |
| 51048987 | Other | AL | BCBS |
| 051542511 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 10143 (Alabama) | Primary |
| Entity Name | University Of South Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
| Entity Name | Quality Of Life Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Peilen, MD Po Box 11047, Daytona Beach, FL 32120-1047 Ph: (386) 274-7800 | Kathryn Peilen, MD 600 S 3rd St, Gadsden, AL 35901-5304 Ph: (904) 805-1300 |
Malachy Ikechukwu Ijemere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 S 3rd St, Gadsden, AL 35901 Phone: 904-805-1300 Fax: 904-805-1302 | |
Dr. Cyrus Shawn Vepa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S 3rd St, Gadsden, AL 35901 Phone: 904-805-1300 Fax: 904-805-1302 | |
Dr. Christopher G Endfinger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000 | |
Greg R Smith, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 S 3rd St, Gadsden, AL 35901 Phone: 256-543-5390 | |
Sampson Ogbuchi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 S 3rd St, Gadsden, AL 35901 Phone: 386-274-7800 Fax: 386-274-7800 | |
Dr. Linda Jean Jones, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000 |