| Stanley W Jett, MD | |
|
47344 Us Highway 78, Lincoln, AL 35096-6748 | |
| (205) 763-7848 | |
| (205) 763-7235 |
| Full Name | Stanley W Jett |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 47344 Us Highway 78, Lincoln, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154424695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16060 (Alabama) | Primary |
| Entity Name | Bhc - Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770547804 PECOS PAC ID: 1456255090 Enrollment ID: O20031125000097 |
| Entity Name | Baptist Health Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265496236 PECOS PAC ID: 3476457011 Enrollment ID: O20180124001442 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley W Jett, MD 200 Beacon Pkwy W, Suite 330, Birmingham, AL 35209-3102 Ph: (205) 715-5910 | Stanley W Jett, MD 47344 Us Highway 78, Lincoln, AL 35096-6748 Ph: (205) 763-7848 |
Mark E Ponder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Patton Chapel Rd, Lincoln, AL 35096 Phone: 205-763-1414 Fax: 205-763-1447 | |
April L Ponder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Patton Chapel Rd, Lincoln, AL 35096 Phone: 205-763-1414 Fax: 205-463-1447 |