| Prattville Primary Care Llc | |
|
461 E Main Street Prattville AL 36067 | |
| (334) 365-2205 | |
| (334) 361-7975 |
| Full Name | Prattville Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 461 E Main Street, Prattville, Alabama |
| Authorized Official Name and Position | Danny P Ingram (PRESIDENT) |
| Authorized Official Contact | 3343652205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prattville Primary Care Llc Po Drawer 681330 Prattville AL 36068-1330 Ph: (334) 365-2205 | Prattville Primary Care Llc 461 E Main Street Prattville AL 36067 Ph: (334) 365-2205 |
| NPI Number | 1326184029 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 02/21/2020 |
| Medicare PECOS PAC ID | 7618951690 |
|---|---|
| Medicare Enrollment ID | O20040616001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326184029 | NPI | - | NPPES |
| 000030008 | Medicaid | AL | |
| 51030008 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10401 (Alabama) | Primary |
| Provider Name | Danny P Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689608747 PECOS PAC ID: 1557544921 Enrollment ID: I20110322000781 |
| Provider Name | Hayley Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497019731 PECOS PAC ID: 4880850551 Enrollment ID: I20120724000866 |
| Provider Name | Christina Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173060 PECOS PAC ID: 7618240136 Enrollment ID: I20170906000412 |
| Provider Name | Brandi I Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144758756 PECOS PAC ID: 0840563987 Enrollment ID: I20170912000797 |
| Provider Name | Jessica Elizabeth Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447725080 PECOS PAC ID: 1052648516 Enrollment ID: I20190807001700 |
Healing Touch Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Mcqueen Smith Rd N, Suite 300, Prattville, AL 36066 Phone: 334-361-2121 Fax: 334-361-2126 | |
Partners In Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 E Main St, Prattville, AL 36067 Phone: 334-272-1799 Fax: 334-272-4876 | |
Ip Prattville Mill Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Jensen Rd, Prattville, AL 36067 Phone: 334-361-5568 Fax: 334-365-5623 | |
Medac, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Interstate Commercial Park Loop, Prattville, AL 36066 Phone: 334-361-8555 Fax: 866-923-0406 | |
Prattville Medical Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1739 E Main St, Prattville, AL 36066 Phone: 334-358-8106 Fax: 334-358-8107 | |
Remnant Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Station Dr, Prattville, AL 36066 Phone: 334-730-0880 Fax: 334-730-0877 | |
Medical Care Associates Prattville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Mcqueen Smith Rd N Ste 302b, Prattville, AL 36066 Phone: 334-361-7404 |