| Morgan Blake Hawk, PA | |
|
3400 Highway 78 E, Jasper, AL 35501-8956 | |
| (205) 387-4000 | |
| Not Available |
| Full Name | Morgan Blake Hawk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3400 Highway 78 E, Jasper, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922710722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.2165 (Alabama) | Primary |
| Entity Name | Island Medical Alabama LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097666 PECOS PAC ID: 3072682103 Enrollment ID: O20080515000492 |
| Entity Name | Alteon Health Alabama, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477708857 PECOS PAC ID: 5698830552 Enrollment ID: O20090210000557 |
| Entity Name | Immh Scottsboro LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558762393 PECOS PAC ID: 2567787344 Enrollment ID: O20150227001970 |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan Blake Hawk, PA 5615 Pawnee Cir, Guntersville, AL 35976-2859 Ph: (256) 486-4262 | Morgan Blake Hawk, PA 3400 Highway 78 E, Jasper, AL 35501-8956 Ph: (205) 387-4000 |
Mrs. Chelsi Ganus Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 5th Ave S, Jasper, AL 35501 Phone: 205-578-1799 |
Nicole Ann Raicik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4000 |
Darcy Matthews Mosley I, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Highway 78 E, Jasper, AL 35501 Phone: 205-221-5374 Fax: 205-385-0382 |
Bruce Campbell Mcfadden, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4187 Fax: 205-387-4727 |
Anna Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4000 |
Peyton Warner Jones, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Highway 78 E, Jasper, AL 35501 Phone: 205-221-5374 |
Christian John Fields, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4000 |