| Allegra Wellness Of Tuscaloosa Llc | |
|
4804 Highway 69 N Northport AL 35473-2035 | |
| (205) 556-5634 | |
| Not Available |
| Full Name | Allegra Wellness Of Tuscaloosa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4804 Highway 69 N, Northport, Alabama |
| Authorized Official Name and Position | Michelle Hawthorne (BILLING MANAGER) |
| Authorized Official Contact | 2052922428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegra Wellness Of Tuscaloosa Llc Po Box 440 Cottondale AL 35453-0105 Ph: () - | Allegra Wellness Of Tuscaloosa Llc 4804 Highway 69 N Northport AL 35473-2035 Ph: (205) 556-5634 |
| NPI Number | 1205515848 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 5597111872 |
|---|---|
| Medicare Enrollment ID | O20231023001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205515848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nikki Lee Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922096262 PECOS PAC ID: 5092616250 Enrollment ID: I20040120000364 |
| Provider Name | Amy M Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770973125 PECOS PAC ID: 1254620834 Enrollment ID: I20170125001566 |
| Provider Name | Lynette Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043302169 PECOS PAC ID: 8820476419 Enrollment ID: I20220610000904 |
| Provider Name | Madison Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174277420 PECOS PAC ID: 3971985151 Enrollment ID: I20220804001465 |
Med 360 Urgent Care Northport Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 Mcfarland Blvd, Northport, AL 35476 Phone: 205-487-4535 Fax: 205-487-8875 | |
Allegra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 Fax: 205-556-5634 | |
Mitt Lary Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4815 Rose Blvd, Northport, AL 35475 Phone: 205-722-0650 Fax: 205-345-5178 | |
Medcenter Demopolis, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3909 Mcfarland Blvd, Northport, AL 35476 Phone: 205-333-1993 Fax: 205-333-0782 | |
Northport Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2810 Lurleen Wallace Boulevard, Northport, AL 35476 Phone: 205-333-7670 Fax: 205-333-3161 | |
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