| Sam Idongesit Michael, MD | |
|
12205 County Line Rd Ste D, Madison, AL 35758-7720 | |
| (938) 227-6307 | |
| Not Available |
| Full Name | Sam Idongesit Michael |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 12205 County Line Rd Ste D, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699272062 | NPI | - | NPPES |
| Entity Name | Crestwood Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Idongesit Michael, MD 625 19th St S, Birmingham, AL 35233-1900 Ph: (205) 934-2490 | Sam Idongesit Michael, MD 12205 County Line Rd Ste D, Madison, AL 35758-7720 Ph: (938) 227-6307 |
Dr. Valerie Le, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Westover Cir Ste C, Madison, AL 35758 Phone: 256-890-0331 | |
Gregory S Borucki, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 124 Bluff Spring Dr, Madison, AL 35758 Phone: 256-325-4075 | |
Dr. Ramakrishna Vennam, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 540 Hughes Rd, Suite 2, Madison, AL 35758 Phone: 256-772-0573 Fax: 256-464-9578 | |
Dr. Khola Karim, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5698 Wall Triana Highway, Madison, AL 35758 Phone: 256-830-2316 Fax: 256-830-2319 | |
Dr. Akram Ibrahiem Haggag, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 708 Will Halsey Way Ste A, Madison, AL 35758 Phone: 256-325-2763 | |
Dr. Nicholas A Patellis, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 382 Slaughter Rd, Madison, AL 35758 Phone: 256-428-1096 Fax: 256-428-1098 | |
Satyabrata Chatterjee, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd Ste D, Madison, AL 35758 Phone: 938-227-6307 Fax: 938-227-6318 |