| Elberta Clinic, Pc | |
|
24980 State St Po Drawer 519 Elberta AL 36530-2573 | |
| (251) 986-7301 | |
| (251) 986-5927 |
| Full Name | Elberta Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 24980 State St, Elberta, Alabama |
| Authorized Official Name and Position | Terry A. Kurtts (OWNER) |
| Authorized Official Contact | 2519867301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elberta Clinic, Pc 24980 State St Po Drawer 519 Elberta AL 36530-2573 Ph: (251) 986-7301 | Elberta Clinic, Pc 24980 State St Po Drawer 519 Elberta AL 36530-2573 Ph: (251) 986-7301 |
| NPI Number | 1588752844 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/20/2020 |
| Medicare PECOS PAC ID | 6901874403 |
|---|---|
| Medicare Enrollment ID | O20040922000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588752844 | NPI | - | NPPES |
| 529500390 | Medicaid | AL | |
| BCBS | Other | AL | BLUE CROSS BLUE SHIELD AL |
| CN3899 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph P Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523753 PECOS PAC ID: 8022086537 Enrollment ID: I20040922000853 |
| Provider Name | David S Emerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598760191 PECOS PAC ID: 6406987551 Enrollment ID: I20100713000160 |
| Provider Name | Carolyn Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407836802 PECOS PAC ID: 6406972876 Enrollment ID: I20100923000624 |
| Provider Name | Terry Alan Kurtts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144200510 PECOS PAC ID: 0244208759 Enrollment ID: I20101018000154 |
| Provider Name | Sherilyn M Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689911414 PECOS PAC ID: 4284871906 Enrollment ID: I20130516000209 |
| Provider Name | Donna M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861785693 PECOS PAC ID: 4082840509 Enrollment ID: I20140220000200 |
| Provider Name | Debra Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871836858 PECOS PAC ID: 8628295789 Enrollment ID: I20140813001397 |
| Provider Name | Lindsay Pieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407321094 PECOS PAC ID: 5597009670 Enrollment ID: I20181129002914 |
| Provider Name | Michael M. Marfice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457989725 PECOS PAC ID: 4183085616 Enrollment ID: I20230801001595 |
| Provider Name | Madilyn E Tomaso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780264002 PECOS PAC ID: 4183168578 Enrollment ID: I20240626002518 |
Heath Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9275 Bay Point Dr, Elberta, AL 36530 Phone: 205-401-0976 |