Richard G. Diethelm, Md, Pc | |
52 Medical Park East Drive Suite 317 Birmingham AL 35235 | |
(205) 836-9366 | |
Not Available |
Full Name | Richard G. Diethelm, Md, Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 52 Medical Park East Drive, Birmingham, Alabama |
Authorized Official Name and Position | Richard G Diethelm (PRESIDENT) |
Authorized Official Contact | 2058369366 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Richard G. Diethelm, Md, Pc 52 Medical Park East Drive Suite 317 Birmingham AL 35235 Ph: (205) 836-9366 | Richard G. Diethelm, Md, Pc 52 Medical Park East Drive Suite 317 Birmingham AL 35235 Ph: (205) 836-9366 |
NPI Number | 1205053824 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 12/10/2008 |
Medicare PECOS PAC ID | 0143329474 |
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Medicare Enrollment ID | O20070627000072 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205053824 | NPI | - | NPPES |
529932807 | Medicaid | AL | |
DG1281 | Other | AL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 26360 (Alabama) | Primary |
Provider Name | Richard G Diethelm |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1851518476 PECOS PAC ID: 0042319378 Enrollment ID: I20070627000084 |
Provider Name | Andrea L Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467725267 PECOS PAC ID: 0345404042 Enrollment ID: I20120608000370 |
Provider Name | William Samuel Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982143228 PECOS PAC ID: 5395022545 Enrollment ID: I20170426000921 |
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