| Panacea O'neill Medical Group Inc | |
|
104 Spenryn Dr Madison AL 35758-1890 | |
| (256) 772-4300 | |
| (256) 772-4302 |
| Full Name | Panacea O'neill Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Spenryn Dr, Madison, Alabama |
| Authorized Official Name and Position | Tiernan O'neill (OWNER/MANAGER) |
| Authorized Official Contact | 2567724300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea O'neill Medical Group Inc 104 Spenryn Dr Madison AL 35758-1890 Ph: (256) 772-4300 | Panacea O'neill Medical Group Inc 104 Spenryn Dr Madison AL 35758-1890 Ph: (256) 772-4300 |
| NPI Number | 1356870398 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7315217247 |
|---|---|
| Medicare Enrollment ID | O20170725002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356870398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shane R Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477548113 PECOS PAC ID: 6103898754 Enrollment ID: I20040812000811 |
| Provider Name | Kealan D Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003357195 PECOS PAC ID: 1456773183 Enrollment ID: I20200625000078 |
Dr. Sunita Puri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8075 Madison Blvd Ste 106, Madison, AL 35758 Phone: 256-464-6004 Fax: 256-464-0403 | |
Custom Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 279 Hughes Rd, Madison, AL 35758 Phone: 256-289-1733 | |
Caswall C Harrigan Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 Phone: 256-426-0802 | |
Heritage Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-990-8446 Fax: 256-461-0393 | |
Tennessee Valley Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3809 Sullivan St, Suite 7, Madison, AL 35758 Phone: 256-428-1096 Fax: 256-428-1097 | |
American Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Hwy 72 W, Madison, AL 35758 Phone: 256-562-0850 Fax: 256-562-0854 | |
Madison Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3776 Sullivan St, Suite D, Madison, AL 35758 Phone: 256-325-0302 Fax: 256-325-0391 |