| Jlbmd Consulting, Pc | |
|
108 4th Ave Sw Ste A Reform AL 35481-8018 | |
| (205) 375-6251 | |
| Not Available |
| Full Name | Jlbmd Consulting, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 108 4th Ave Sw Ste A, Reform, Alabama |
| Authorized Official Name and Position | Julia Boothe (PHYSICIAN) |
| Authorized Official Contact | 2053756251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlbmd Consulting, Pc Po Box 1000 Reform AL 35481-1000 Ph: () - | Jlbmd Consulting, Pc 108 4th Ave Sw Ste A Reform AL 35481-8018 Ph: (205) 375-6251 |
| NPI Number | 1003449869 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 6901235969 |
|---|---|
| Medicare Enrollment ID | O20200326003641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julia L Boothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255397824 PECOS PAC ID: 0941102107 Enrollment ID: I20040127000341 |
| Provider Name | Timothy W Prestley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548421803 PECOS PAC ID: 2062677974 Enrollment ID: I20120627000284 |
| Provider Name | Theresa Darlene Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609114198 PECOS PAC ID: 8325283989 Enrollment ID: I20130402000284 |
| Provider Name | Cacyce Michelle Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457774200 PECOS PAC ID: 6406087774 Enrollment ID: I20140331000488 |
| Provider Name | Brandy Kelley Junkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902259443 PECOS PAC ID: 7416241575 Enrollment ID: I20160811002504 |
| Provider Name | Marilyn Dyer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992152284 PECOS PAC ID: 0648563908 Enrollment ID: I20190823000756 |
Reform Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 10th Ave S W, Reform, AL 35481 Phone: 205-375-6251 Fax: 205-375-9064 | |
Reform Rural Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 10th Ave Sw, Reform, AL 35481 Phone: 205-375-6251 Fax: 205-375-6121 | |
Pickens County Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 4th Ave, Reform, AL 35481 Phone: 205-375-2304 Fax: 205-375-2335 | |
Pickens County Primary Care, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 7th Ave Sw, Reform, AL 35481 Phone: 205-375-2438 Fax: 205-375-2439 | |
Fenton Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 1st St S, Reform, AL 35481 Phone: 205-375-2959 Fax: 205-469-8014 | |
Pickens County Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481 Phone: 205-375-6251 Fax: 205-375-9064 |