| Nicholas Brit Gerlach, PA | |
|
124 S Memorial Dr, Prattville, AL 36067-3619 | |
| (334) 365-0651 | |
| Not Available |
| Full Name | Nicholas Brit Gerlach |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 124 S Memorial Dr, Prattville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831965565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1931 (Alabama) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Paragon Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | Emergency Services of Montgomery PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Brit Gerlach, PA 965 Gaddis Ave, Prattville, AL 36066-5634 Ph: (334) 782-9997 | Nicholas Brit Gerlach, PA 124 S Memorial Dr, Prattville, AL 36067-3619 Ph: (334) 365-0651 |
Stacey L Whitaker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2008 Wynfield Dr, Prattville, AL 36067 Phone: 208-391-7280 Fax: 534-202-4595 |
Jamaal Upshaw, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1595 E Main St, Prattville, AL 36066 Phone: 334-358-3070 Fax: 334-358-3080 |
Tiffany Celeste Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 E Main St, Prattville, AL 36067 Phone: 334-568-2273 Fax: 334-568-2274 |
Rebecca Lynn Mittelstadt, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2709 Legends Pkwy, Prattville, AL 36066 Phone: 334-310-1117 |