| Rayen-ayoub Chakra, | |
|
3124 W Main St Ste 3, Dothan, AL 36305-1181 | |
| (334) 803-8552 | |
| (334) 828-7317 |
| Full Name | Rayen-ayoub Chakra |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 9 Years |
| Location | 3124 W Main St Ste 3, Dothan, 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 |
|---|---|---|---|
| 1033608765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 52891 (Alabama) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | ME162228 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Ascension Sacred Heart Gulf | Port saint joe, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emerald Coast Infectious Diseases Medical Group, P.a. | 5092753772 | 17 |
| Entity Name | Emerald Coast Infectious Diseases Medical Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017882 PECOS PAC ID: 5092753772 Enrollment ID: O20050422000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayen-ayoub Chakra, 3124 W Main St Ste 3, Dothan, AL 36305-1181 Ph: (334) 803-8552 | Rayen-ayoub Chakra, 3124 W Main St Ste 3, Dothan, AL 36305-1181 Ph: (334) 803-8552 |
Meagan Self Hoggle, DO Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Parks Winfield Pratt Iii, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Nikki Ilona Broussard, CRNP Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 |