| Victor S Dreicer, MD | |
|
4300 W Main St Ste 21, Dothan, AL 36305-1058 | |
| (334) 699-7900 | |
| (334) 944-7040 |
| Full Name | Victor S Dreicer |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 4300 W Main St Ste 21, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922072834 | NPI | - | NPPES |
| 068002298 | Other | KS | MEDICARE PTAN |
| 17887 | Medicaid | AZ | |
| 201109650A | Medicaid | KS |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor S Dreicer, MD Po Box 6599, Dothan, AL 36302-1654 Ph: (334) 699-7900 | Victor S Dreicer, MD 4300 W Main St Ste 21, Dothan, AL 36305-1058 Ph: (334) 699-7900 |
Steven F Johnson, M. D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2431 W Main St, Ste 1001, Dothan, AL 36301 Phone: 334-794-2825 Fax: 334-793-5050 | |
Dr. Fady S Wanna, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 21, Dothan, AL 36305 Phone: 205-620-7523 Fax: 205-620-8667 |