Crestwood Physician Services, Llc - Medicare Primary Care in Huntsville, AL

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Crestwood Physician Services, Llc is a medicare enrolled primary clinic (Family Medicine) in Huntsville, Alabama. The current practice location for Crestwood Physician Services, Llc is 4810 Whitesport Cir Sw, Suite 201, Huntsville, Alabama. For appointments, you can reach them via phone at (256) 429-5248. The mailing address for Crestwood Physician Services, Llc is Po Box 689022, Franklin, Tennessee and phone number is () -.

Crestwood Physician Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154622520. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (256) 429-5248.

Contact Information

Crestwood Physician Services, Llc
4810 Whitesport Cir Sw
Suite 201
Huntsville
AL 35801-7419
(256) 429-5248
(256) 429-5247

Map and Direction


Primary Care Clinic Profile

Full NameCrestwood Physician Services, Llc
SpecialityFamily Medicine
Location4810 Whitesport Cir Sw, Huntsville, Alabama
Authorized Official Name and PositionJames Patrick Wright (VP PHYSICIAN BUSINESS SERVICES)
Authorized Official Contact6157781502
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crestwood Physician Services, Llc
Po Box 689022
Franklin
TN 37068-9022

Ph: () -		Crestwood Physician Services, Llc
4810 Whitesport Cir Sw
Suite 201
Huntsville
AL 35801-7419

Ph: (256) 429-5248

NPI Details:

NPI Number1154622520
Provider Enumeration Date11/16/2010
Last Update Date01/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3476735648
Medicare Enrollment IDO20110309000303

Medical Identifiers

Medical identifiers for Crestwood Physician Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154622520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crestwood Physician Services, Llc acts as a billing entity for following providers:
Provider NameJenny C Chapman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699709709
PECOS PAC ID: 4486638251
Enrollment ID: I20040617001055
Provider NameLona Hope Haskell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023072642
PECOS PAC ID: 2668458217
Enrollment ID: I20040701000327
Provider NameBhavna Sharma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619921822
PECOS PAC ID: 1052342573
Enrollment ID: I20050824001062
Provider NameKenneth J Batchelor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205954799
PECOS PAC ID: 1557395589
Enrollment ID: I20050920000639
Provider NameValerie L Wright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073531661
PECOS PAC ID: 8123101375
Enrollment ID: I20080211000511
Provider NameDavid A Mcmillion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134339880
PECOS PAC ID: 1456403021
Enrollment ID: I20090713000046
Provider NameMary E Barry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104894963
PECOS PAC ID: 5890703102
Enrollment ID: I20100623000136
Provider NameJeffrey G. Garber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174504740
PECOS PAC ID: 4981735982
Enrollment ID: I20100707000387
Provider NameCharles D. Coffey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093701849
PECOS PAC ID: 7416083464
Enrollment ID: I20100824000131
Provider NameAnn S Chu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982788519
PECOS PAC ID: 7618997685
Enrollment ID: I20100929000899
Provider NameJohn E Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275831703
PECOS PAC ID: 2961686654
Enrollment ID: I20110404000709
Provider NameSmita S Shah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063454817
PECOS PAC ID: 4981660578
Enrollment ID: I20110727000120
Provider NameCarisa F Sparks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356689129
PECOS PAC ID: 8325292543
Enrollment ID: I20130215000332
Provider NameBetsy M Osborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821412396
PECOS PAC ID: 0547493470
Enrollment ID: I20140430001462
Provider NameJanice Lewis-thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114977931
PECOS PAC ID: 8022194794
Enrollment ID: I20160111001752
Provider NameMahmood M Alasmi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215120126
PECOS PAC ID: 3375607450
Enrollment ID: I20160303002012
Provider NameBernard Anthony Kurecki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487604336
PECOS PAC ID: 2769552116
Enrollment ID: I20160801001718
Provider NameYari Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144398678
PECOS PAC ID: 3577525658
Enrollment ID: I20160804002306
Provider NameJose F Pace
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568867042
PECOS PAC ID: 4284905902
Enrollment ID: I20170728002927
Provider NameNicholas D Prylinski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275979858
PECOS PAC ID: 6507082179
Enrollment ID: I20170828003828
Provider NameCourtney Blythe Bowen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760878771
PECOS PAC ID: 1850686254
Enrollment ID: I20171212001822
Provider NameTiaya A Lang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467978221
PECOS PAC ID: 7214285865
Enrollment ID: I20180730002936
Provider NameKim A Driggers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407332232
PECOS PAC ID: 5698028413
Enrollment ID: I20181025000040
Provider NameAngela M Durham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699862474
PECOS PAC ID: 6204950033
Enrollment ID: I20181121000674
Provider NameRodney L Holladay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881679488
PECOS PAC ID: 9335031129
Enrollment ID: I20190619002014
Provider NameBlair Chance
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992152607
PECOS PAC ID: 1759679095
Enrollment ID: I20200618002227
Provider NameKaitlyn Wendolowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033728100
PECOS PAC ID: 4981020914
Enrollment ID: I20200820001692
Provider NameHussien Farrag
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811070923
PECOS PAC ID: 3476613431
Enrollment ID: I20210914000675
Provider NameJason Fultz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164083093
PECOS PAC ID: 5294060422
Enrollment ID: I20220711000536
Provider NameKerianne M Donham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700533882
PECOS PAC ID: 8628444825
Enrollment ID: I20221012003430
Provider NameEmily Michelle Stephenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205495967
PECOS PAC ID: 1456721935
Enrollment ID: I20221227000687
Provider NameBrittany Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780320770
PECOS PAC ID: 9032580741
Enrollment ID: I20230117001297
Provider NameCasey Bodkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881306769
PECOS PAC ID: 8820469240
Enrollment ID: I20230123002523
Provider NameMahvash Mozafarian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053870816
PECOS PAC ID: 8628486545
Enrollment ID: I20230228000898
Provider NameDaniel Scott Krautter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306401757
PECOS PAC ID: 6406182567
Enrollment ID: I20230711002085
Provider NameLyle Gary Bohlman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265420301
PECOS PAC ID: 1759337157
Enrollment ID: I20230807001879
Provider NameDaniel P Alexander
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1760423784
PECOS PAC ID: 9537178496
Enrollment ID: I20230808001295
Provider NamePamela Angelo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952925570
PECOS PAC ID: 4385067339
Enrollment ID: I20230814002887
Provider NameSamuel Waling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053774018
PECOS PAC ID: 5991070013
Enrollment ID: I20231227001260
Provider NameSarah Elizabeth Waling
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881057792
PECOS PAC ID: 1850665126
Enrollment ID: I20240103003438
Provider NameMohamed Elsheshtawi Ali
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1912585159
PECOS PAC ID: 4981007788
Enrollment ID: I20240606002284
Provider NameSam Idongesit Michael
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699272062
PECOS PAC ID: 0446797617
Enrollment ID: I20240806000814
Provider NameErin Olivia Schmale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558948026
PECOS PAC ID: 9436684164
Enrollment ID: I20241119000592
Provider NameMeghan J Dunning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003513458
PECOS PAC ID: 4789114570
Enrollment ID: I20250210000284

Reviews and Comments


Family Medicine in Huntsville, AL

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Phone: 256-534-5946    Fax: 256-534-3041
Inspirational Counseling Llc
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Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808
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David Traynor, Md Pc
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Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801
Phone: 256-881-5880    Fax: 256-883-3280
Magnolia Primary Care Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801
Phone: 256-203-6676    Fax: 833-979-0980
Five Points Family Medicine Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801
Phone: 256-714-3363    
Quality Medical Care Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8010 Memorial Pkwy Sw, Huntsville, AL 35802
Phone: 256-272-4332    Fax: 256-272-4342
Davis Medical Group, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802
Phone: 256-882-0132    Fax: 256-882-1461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.