| Ilinca Prisacaru, Md, Pc | |
|
125 Jeffrey Wilson Dr Odenville AL 35120-5575 | |
| (205) 227-0485 | |
| Not Available |
| Full Name | Ilinca Prisacaru, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 Jeffrey Wilson Dr, Odenville, Alabama |
| Authorized Official Name and Position | Terri Woods (PRACTICE MANAGER) |
| Authorized Official Contact | 2052270485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilinca Prisacaru, Md, Pc 125 Jeffrey Wilson Dr Odenville AL 35120-5575 Ph: (205) 227-0485 | Ilinca Prisacaru, Md, Pc 125 Jeffrey Wilson Dr Odenville AL 35120-5575 Ph: (205) 227-0485 |
| NPI Number | 1861128456 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 6204206766 |
|---|---|
| Medicare Enrollment ID | O20221228002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861128456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ilinca Cristina Prisacaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831458892 PECOS PAC ID: 2365756251 Enrollment ID: I20150805009593 |
| Provider Name | Jessica Earnest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912475658 PECOS PAC ID: 8820337454 Enrollment ID: I20190226003037 |
| Provider Name | William Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326799594 PECOS PAC ID: 8527452499 Enrollment ID: I20220221000004 |
Margaret Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3832 Sanie Rd, Ste 125, Odenville, AL 35120 Phone: 205-629-1300 |