| Lawrence J Herberholz, MD | |
|
911 S Broad St, Scottsboro, AL 35768-2509 | |
| (256) 259-0185 | |
| (256) 259-0317 |
| Full Name | Lawrence J Herberholz |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 911 S Broad St, Scottsboro, 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 |
|---|---|---|---|
| 1619977378 | NPI | - | NPPES |
| 009990335 | Medicaid | AL | |
| 529923150 | Medicaid | AL | |
| 51524140 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23961 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highlands Medical Center | Scottsboro, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highlands Professional Services | 0648666198 | 19 |
| Entity Name | Highlands Surgical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639514250 PECOS PAC ID: 5395972921 Enrollment ID: O20131205001208 |
| Entity Name | Highlands Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750041786 PECOS PAC ID: 0648666198 Enrollment ID: O20220408001223 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence J Herberholz, MD 911 S Broad St, Scottsboro, AL 35768-2509 Ph: (256) 259-0185 | Lawrence J Herberholz, MD 911 S Broad St, Scottsboro, AL 35768-2509 Ph: (256) 259-0185 |
Edward Wesley Knowles, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 911 S Broad St, Scottsboro, AL 35768 Phone: 256-259-0185 Fax: 256-259-0317 | |
Tuesday M Bigelow, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1202 S Broad St, Scottsboro, AL 35768 Phone: 256-259-5950 Fax: 256-259-5954 |