South Dekalb Family Medical Associates P.c. - Medicare Primary Care in Crossville, AL

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South Dekalb Family Medical Associates P.c. is a medicare enrolled primary clinic (Family Medicine) in Crossville, Alabama. The current practice location for South Dekalb Family Medical Associates P.c. is 15239 Al Hwy 68 W, Crossville, Alabama. For appointments, you can reach them via phone at (256) 528-7173. The mailing address for South Dekalb Family Medical Associates P.c. is 15239 Al Highway 68 W, Crossville, Alabama and phone number is (256) 528-7173.

South Dekalb Family Medical Associates P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538487020. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (256) 528-7173.

Contact Information

South Dekalb Family Medical Associates P.c.
15239 Al Hwy 68 W
Crossville
AL 35962-0158
(256) 528-7173
(256) 528-2425

Map and Direction


Primary Care Clinic Profile

Full NameSouth Dekalb Family Medical Associates P.c.
SpecialityFamily Medicine
Location15239 Al Hwy 68 W, Crossville, Alabama
Authorized Official Name and PositionJennie Miller (OFFICE MANAGER)
Authorized Official Contact2565054532
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Dekalb Family Medical Associates P.c.
15239 Al Highway 68 W
Crossville
AL 35962-0158

Ph: (256) 528-7173		South Dekalb Family Medical Associates P.c.
15239 Al Hwy 68 W
Crossville
AL 35962-0158

Ph: (256) 528-7173

NPI Details:

NPI Number1538487020
Provider Enumeration Date05/10/2010
Last Update Date06/10/2010

Medicare PECOS Information:

Medicare PECOS PAC ID3971566811
Medicare Enrollment IDO20041110001246

Medical Identifiers

Medical identifiers for South Dekalb Family Medical Associates P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538487020NPI-NPPES
541003854MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Dekalb Family Medical Associates P.c. acts as a billing entity for following providers:
Provider NameHeather L Mostella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487753315
PECOS PAC ID: 9830136449
Enrollment ID: I20050414001175
Provider NameMark A Fruendt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306164223
PECOS PAC ID: 5294778841
Enrollment ID: I20050628001349
Provider NameFrancesca Cerimele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770591950
PECOS PAC ID: 4486657814
Enrollment ID: I20060824000286
Provider NameJames Russell Hutcherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477756542
PECOS PAC ID: 9537249610
Enrollment ID: I20080102000019
Provider NameRommel Go
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477548469
PECOS PAC ID: 8022151380
Enrollment ID: I20100209000137
Provider NameNiccole L Mcdaniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972834190
PECOS PAC ID: 1850426339
Enrollment ID: I20100323000480
Provider NameLarry R Johnston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023003019
PECOS PAC ID: 2961694740
Enrollment ID: I20101012000813
Provider NameMaria G Rabin-go
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316045586
PECOS PAC ID: 9234326737
Enrollment ID: I20101209000988
Provider NameMiranda P Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568702611
PECOS PAC ID: 6103065883
Enrollment ID: I20130611000292
Provider NameJennifer Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821486465
PECOS PAC ID: 3375862816
Enrollment ID: I20150505000193
Provider NameSheila Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760894927
PECOS PAC ID: 5890911036
Enrollment ID: I20150824000418
Provider NameMegan Michele Light
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881073088
PECOS PAC ID: 6103134697
Enrollment ID: I20151002000731
Provider NameGayle Lavern Lombard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942688320
PECOS PAC ID: 5395055636
Enrollment ID: I20151117000786
Provider NameJennifer L Giddens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396294229
PECOS PAC ID: 4587938485
Enrollment ID: I20170915001292
Provider NameCarlos Chacon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477095883
PECOS PAC ID: 6709150220
Enrollment ID: I20170922000736

Reviews and Comments


Family Medicine in Crossville, AL

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Medicare: Medicare Enrolled
Practice Location: 15239 Al Highway 68, Crossville, AL 35962
Phone: 256-925-0469    Fax: 256-925-0553
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Medicare: Medicare Enrolled
Practice Location: 15239 Al Highway 68, Crossville, AL 35962
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.