| Ryan Albert Gregorio, MD | |
|
605 Gandy St Ne, Russellville, AL 35653-1911 | |
| (256) 332-8969 | |
| (256) 332-8353 |
| Full Name | Ryan Albert Gregorio |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 605 Gandy St Ne, Russellville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285849729 | NPI | - | NPPES |
| 009913923 | Medicaid | AL | |
| 510-09585 | Other | AL | AL BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28470 (Alabama) | Primary |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Albert Gregorio, MD Po Box 99, Russellville, AL 35653-0099 Ph: (256) 332-8969 | Ryan Albert Gregorio, MD 605 Gandy St Ne, Russellville, AL 35653-1911 Ph: (256) 332-8969 |
Kevin Gerard Kelly, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13150 Highway 43, Suite 10, Russellville, AL 35653 Phone: 256-332-5901 Fax: 256-332-6911 | |
Dr. Harry Willi Kuberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15225 Highway 43 Ste F, Russellville, AL 35653 Phone: 256-331-9408 Fax: 256-331-9530 | |
Chenyi Jeffrey Chenyi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15225 Highway 43, Suite 1, Russellville, AL 35653 Phone: 256-311-2700 Fax: 256-311-2777 |