| Larry Mitchell, MD | |
|
1550 County Road 487, Centre, AL 35960 | |
| (615) 428-4422 | |
| Not Available |
| Full Name | Larry Mitchell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1550 County Road 487, Centre, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710067160 | NPI | - | NPPES |
| 009936244 | Medicaid | AL | |
| 000008232 | Medicaid | AL | |
| 009936246 | Medicaid | AL | |
| 009936247 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 12895 (Alabama) | Primary |
| Entity Name | Emergency Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906 |
| 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 | Fort Payne Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764395 PECOS PAC ID: 5698779304 Enrollment ID: O20060912000391 |
| Entity Name | Southern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Entity Name | Alabama Emergency Physician Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
| Entity Name | Moore Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415769 PECOS PAC ID: 9537421516 Enrollment ID: O20180403002099 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Mitchell, MD 1550 County Road 487, Centre, AL 35960 Ph: (615) 428-4422 | Larry Mitchell, MD 1550 County Road 487, Centre, AL 35960 Ph: (615) 428-4422 |
Dr. Benjamin Chas Dowdey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Northwood Dr, Centre, AL 35960 Phone: 256-927-5531 | |
Dr. William K Hawley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Northwood Dr, Centre, AL 35960 Phone: 256-927-1302 Fax: 256-927-1425 | |
Dr. Tamara R Hughes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Northwood Dr, Centre, AL 35960 Phone: 256-927-5531 |