| Mr Maxwell Geoff Gunn, PA | |
|
Building 301 Andrews Avenue, Fort Novosel, AL 36362 | |
| (334) 255-7743 | |
| Not Available |
| Full Name | Mr Maxwell Geoff Gunn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Building 301 Andrews Avenue, Fort Novosel, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356658868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | TA.1713 (Alabama) | Secondary |
| 363A00000X | Physician Assistant | 729 (Alabama) | Primary |
| Entity Name | Professional Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063476836 PECOS PAC ID: 3375574106 Enrollment ID: O20050822001085 |
| 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 | Southern Alabama Physicians, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Maxwell Geoff Gunn, PA Building 301 Andrews Avenue, Fort Novosel, AL 36362 Ph: (334) 255-7743 | Mr Maxwell Geoff Gunn, PA Building 301 Andrews Avenue, Fort Novosel, AL 36362 Ph: (334) 255-7743 |
Mr. Eric Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 Andrews Avenue, Fort Novosel, AL 36362 Phone: 800-261-7193 |
Amanda Pouncey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Bldg 301 Andrews Avenue, Fort Novosel, AL 36362 Phone: 334-255-7000 |
Paul Schultz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews St, Fort Novosel, AL 36362 Phone: 334-255-6710 |