| Mary Lane Gould-hartline, APRN BC CEDS | |
|
2803 Greystone Commercial Blvd Ste 12, Hoover, AL 35242-9603 | |
| (205) 968-1227 | |
| Not Available |
| Full Name | Mary Lane Gould-hartline |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 37 Years |
| Location | 2803 Greystone Commercial Blvd Ste 12, Hoover, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255387213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1048511 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amh Enterprises Llc | 1153651666 | 19 |
| Entity Name | Psychiatry 280 Counseling Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285019927 PECOS PAC ID: 7810206687 Enrollment ID: O20151016001566 |
| Entity Name | Amh Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588229843 PECOS PAC ID: 1153651666 Enrollment ID: O20190926001366 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lane Gould-hartline, APRN BC CEDS 2803 Greystone Commercial Blvd Ste 12, Hoover, AL 35242-9603 Ph: (205) 968-1227 | Mary Lane Gould-hartline, APRN BC CEDS 2803 Greystone Commercial Blvd Ste 12, Hoover, AL 35242-9603 Ph: (205) 968-1227 |
Dr. Kira Fonbah, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2170 Clearbrook Rd Ste 103, Hoover, AL 35226 Phone: 205-746-8542 | |
Decontee Jimmeh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2270 Valleydale Rd, Suite 100, Hoover, AL 35244 Phone: 205-982-3596 Fax: 205-982-4483 | |
Dr. Cynthia Janelle Sung, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Southlake Park, Ste 100, Hoover, AL 35244 Phone: 205-987-0724 |