| Primary Care Center Of Monroeville | |
|
1075 Drewry Rd Suite B Monroeville AL 36460 | |
| (251) 575-5988 | |
| (251) 575-5970 |
| Full Name | Primary Care Center Of Monroeville |
|---|---|
| Speciality | Clinic/Center |
| Location | 1075 Drewry Rd, Monroeville, Alabama |
| Authorized Official Name and Position | Jackie Wright (OFFICE MANAGER) |
| Authorized Official Contact | 2515755988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Center Of Monroeville 1075 Drewry Rd Suite B Monroeville AL 36460 Ph: (251) 575-5988 | Primary Care Center Of Monroeville 1075 Drewry Rd Suite B Monroeville AL 36460 Ph: (251) 575-5988 |
| NPI Number | 1972606531 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 11/16/2022 |
| Medicare PECOS PAC ID | 2860499019 |
|---|---|
| Medicare Enrollment ID | O20061031000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972606531 | NPI | - | NPPES |
| 529911320 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Angela A Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265478663 PECOS PAC ID: 6305843558 Enrollment ID: I20061031000383 |
| Provider Name | Lisa Ellen Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144665597 PECOS PAC ID: 6800035601 Enrollment ID: I20130626000369 |
| Provider Name | Chantel Knowles-moye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962928911 PECOS PAC ID: 1850656992 Enrollment ID: I20180521001260 |
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