| Frank H. Rudeseal, M.d., P.c. | |
|
2057 Valleydale Rd Ste 220 Hoover AL 35244-2706 | |
| (205) 949-1980 | |
| Not Available |
| Full Name | Frank H. Rudeseal, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2057 Valleydale Rd Ste 220, Hoover, Alabama |
| Authorized Official Name and Position | Frank H Rudeseal (PHYSICIAN) |
| Authorized Official Contact | 2059491980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank H. Rudeseal, M.d., P.c. Po Box 936 Jemison AL 35085-0936 Ph: (205) 949-1990 | Frank H. Rudeseal, M.d., P.c. 2057 Valleydale Rd Ste 220 Hoover AL 35244-2706 Ph: (205) 949-1980 |
| NPI Number | 1922218270 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 0143258608 |
|---|---|
| Medicare Enrollment ID | O20050727000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922218270 | NPI | - | NPPES |
| 000025063 | Medicaid | AL | |
| 25063 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00011696 (Alabama) | Primary |
| Provider Name | Frank Herman Rudeseal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851320626 PECOS PAC ID: 5890723357 Enrollment ID: I20050729000415 |
| Provider Name | Tiffany Hethcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881282739 PECOS PAC ID: 6204241151 Enrollment ID: I20210226001352 |
| Provider Name | Gretchen Rudeseal-arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366222036 PECOS PAC ID: 5698118123 Enrollment ID: I20240212001990 |
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