| Imc-eastern Shore Family Practice Llc | |
|
27961 Highway 98 Suite 14 Daphne AL 36526 | |
| (251) 626-1175 | |
| (251) 626-1507 |
| Full Name | Imc-eastern Shore Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 27961 Highway 98, Daphne, Alabama |
| Authorized Official Name and Position | Anthony Palazzo (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 2514351361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imc-eastern Shore Family Practice Llc Po Box 2226 Mobile AL 36652-2226 Ph: () - | Imc-eastern Shore Family Practice Llc 27961 Highway 98 Suite 14 Daphne AL 36526 Ph: (251) 626-1175 |
| NPI Number | 1235659319 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 06/21/2017 |
| Medicare PECOS PAC ID | 7315218450 |
|---|---|
| Medicare Enrollment ID | O20170808000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235659319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ross Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851367874 PECOS PAC ID: 7618155607 Enrollment ID: I20110630000558 |
| Provider Name | Andrew Augustus Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104892124 PECOS PAC ID: 0345428330 Enrollment ID: I20111121000703 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154684470 PECOS PAC ID: 0042521650 Enrollment ID: I20150624000531 |
| Provider Name | Amy Elizabeth Kayl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740623750 PECOS PAC ID: 0840582896 Enrollment ID: I20160712001200 |
| Provider Name | Heather Dawn Castleberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770994618 PECOS PAC ID: 3072735281 Enrollment ID: I20210908003133 |
Eastern Shore Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27961 Us Highway 98, Suite 14, Daphne, AL 36526 Phone: 251-626-1175 | |
Heidi Collier, Licsw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27625 Us Highway 98 Bldg A, Daphne, AL 36526 Phone: 251-626-7959 Fax: 251-626-6122 | |
Rockwell Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 Highway 90, Suite 202, Daphne, AL 36526 Phone: 251-625-8211 Fax: 251-625-8219 | |
Clears Clinic Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28720 Us Highway 98 Ste 1, Daphne, AL 36526 Phone: 251-263-3229 | |
American Family Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6631 Park Dr, Daphne, AL 36526 Phone: 251-626-5700 Fax: 251-626-5705 | |
Mccullars Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Timber Way Ste 202, Daphne, AL 36527 Phone: 251-342-1808 Fax: 251-342-1838 |