| Wiley Hugh Justice, MD | |
|
5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | |
| (251) 445-9378 | |
| (251) 445-9377 |
| Full Name | Wiley Hugh Justice |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 5721 Usa North Dr, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619332 | NPI | - | NPPES |
| 000034502 | Medicaid | AL | |
| 51511917 | Other | AL | BLUE CROSS AL PROVIDER # |
| 51034502 | Other | AL | BLUE CROSS PROVIDER # |
| C71226 | Other | AL | HEALTHSPRING PROVIDER # |
| 4006616 | Other | AL | AETNA PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 00007930 (Alabama) | Primary |
| Entity Name | University Of South Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley Hugh Justice, MD Po Box 40277, Mobile, AL 36688-0277 Ph: (251) 445-9378 | Wiley Hugh Justice, MD 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 Ph: (251) 445-9378 |
Ronnie Everett Swain Sr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Frederick M. Silver, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Mastin 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281 | |
James Kent Pitcock, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 | |
Mark Richard Gacek, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 720 Hillcrest Rd Ste A, Mobile, AL 36695 Phone: 251-340-7970 Fax: 866-873-8411 | |
Kent L. Burton, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Dr. Richard Lewis Palesano, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8940 |