| James Lake Parker | |
|
100 5th St Ne Aliceville AL 35442-2200 | |
| (205) 373-1574 | |
| (205) 373-2653 |
| Full Name | James Lake Parker |
|---|---|
| Speciality | Family Medicine |
| Location | 100 5th St Ne, Aliceville, Alabama |
| Authorized Official Name and Position | James Lake Parker (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2053731574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Lake Parker Po Box 452 Aliceville AL 35442-0452 Ph: (205) 373-1574 | James Lake Parker 100 5th St Ne Aliceville AL 35442-2200 Ph: (205) 373-1574 |
| NPI Number | 1174913966 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 02/09/2015 |
| Medicare PECOS PAC ID | 4486962826 |
|---|---|
| Medicare Enrollment ID | O20151005000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174913966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21969 (Alabama) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1-109137 (Alabama) | Secondary |
| Provider Name | James L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841219391 PECOS PAC ID: 7214099894 Enrollment ID: I20081216000040 |
| Provider Name | Mary K Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474931 PECOS PAC ID: 3779891924 Enrollment ID: I20151007002974 |
Whatley Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 432 5th Street Nw, Aliceville, AL 35442 Phone: 205-758-6647 | |
Aliceville Rural Health Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Carrollton Rd, Aliceville, AL 35442 Phone: 205-373-6323 Fax: 205-373-2544 | |
Whatley Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 3rd St Se, Aliceville, AL 35442 Phone: 205-758-6647 | |
Aliceville Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 5th St Ne, Aliceville, AL 35442 Phone: 205-373-3945 Fax: 205-373-3386 | |
Whatley Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 3rd St Se, Aliceville, AL 35442 Phone: 205-349-3250 |