| Walter J Doty Iii, MD | |
|
1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | |
| (334) 794-1148 | |
| (334) 793-7592 |
| Full Name | Walter J Doty Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1118 Ross Clark Cir, 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 |
|---|---|---|---|
| 1932151719 | NPI | - | NPPES |
| 000027268 | Medicaid | AL | |
| 000373722B | Medicaid | GA | |
| 51027268 | Other | AL | BCBS ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00012721 (Alabama) | Primary |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Dothan Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972693778 PECOS PAC ID: 7416848247 Enrollment ID: O20040322001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter J Doty Iii, MD 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 Ph: (334) 794-1148 | Walter J Doty Iii, MD 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 Ph: (334) 794-1148 |
Meagan Self Hoggle, DO Internal Medicine 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 Internal Medicine 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. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
Jeffrey John Crittenden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 |