| Genesis Eldercare Physician Services LLC | |
|
420 Dean Dr Gardendale AL 35071 | |
| (205) 631-8709 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Dean Dr, Gardendale, Alabama |
| Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services LLC Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services LLC 420 Dean Dr Gardendale AL 35071 Ph: (205) 631-8709 |
| NPI Number | 1598181349 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20140926000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598181349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Oludayo B Dawodu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184737397 PECOS PAC ID: 5496751729 Enrollment ID: I20061010000611 |
| Provider Name | Christine a Davis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497838726 PECOS PAC ID: 0244230100 Enrollment ID: I20061228000201 |
| Provider Name | Alicia M Reaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629234588 PECOS PAC ID: 0840350450 Enrollment ID: I20081126000387 |
| Provider Name | Chikisha Laray Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831470996 PECOS PAC ID: 2365615655 Enrollment ID: I20111102000164 |
| Provider Name | Jonathan Byron Scogin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922355312 PECOS PAC ID: 8921256413 Enrollment ID: I20120906000669 |
| Provider Name | Bardya Mostafavi Naeini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346597804 PECOS PAC ID: 7012132947 Enrollment ID: I20140708002077 |
| Provider Name | Geetha Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992089627 PECOS PAC ID: 5698938306 Enrollment ID: I20160420000151 |
| Provider Name | Charlie Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538697784 PECOS PAC ID: 6204105810 Enrollment ID: I20170712003404 |
| Provider Name | Margaret Harrell Hanby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235759242 PECOS PAC ID: 9032530795 Enrollment ID: I20200604001409 |
| Provider Name | Viviam F Dante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952988495 PECOS PAC ID: 5193134922 Enrollment ID: I20210507001787 |
| Provider Name | Marcos Almonte Sencion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225680390 PECOS PAC ID: 0648654806 Enrollment ID: I20220907002292 |
| Provider Name | Jeremy Keon Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629692769 PECOS PAC ID: 4587089867 Enrollment ID: I20231013000391 |
| Provider Name | Stacey Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831267756 PECOS PAC ID: 7113929282 Enrollment ID: I20241025000429 |
Primary Hydration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Main St Ste A, Gardendale, AL 35071 Phone: 205-285-3766 Fax: 205-270-4989 |
Vincentian Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Decatur Hwy, Gardendale, AL 35071 Phone: 205-418-1200 |
Bbh Pcn Gardendale Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 758 Main St, Gardendale, AL 35071 Phone: 205-631-5521 Fax: 205-631-5540 |
Priority Health and Wellness LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Sierra Ct, Gardendale, AL 35071 Phone: 205-612-7330 |
American Family Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Odum Road, Gardendale, AL 35071 Phone: 205-631-6834 Fax: 205-631-0273 |
Brookwood Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 Phone: 205-418-1270 Fax: 205-418-1271 |