Larry Wayne Wade, MD | |
2619 Decatur Hwy, Fultondale, AL 35068-1723 | |
(205) 841-9898 | |
(205) 841-9880 |
Full Name | Larry Wayne Wade |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2619 Decatur Hwy, Fultondale, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922094085 | NPI | - | NPPES |
051503805 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 00017461 (Alabama) | Primary |
Entity Name | Paragon Contracting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Mailing Address | Practice Location Address |
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Larry Wayne Wade, MD 2619 Decatur Hwy, Fultondale, AL 35068-1723 Ph: (205) 841-9898 | Larry Wayne Wade, MD 2619 Decatur Hwy, Fultondale, AL 35068-1723 Ph: (205) 841-9898 |
Gregory Griffin Hill, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2619 Decatur Hwy, Fultondale, AL 35068 Phone: 205-841-9898 Fax: 205-841-9880 | |
Kelli Folgman Grinder, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811 Fax: 205-849-9812 | |
Dr. Hesham Aldean Hassan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Po Box 369, Fultondale, AL 35068 Phone: 210-683-3329 |