Summit Physician Group Llp - Medicare Primary Care in Tuscaloosa, AL

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Summit Physician Group Llp is a medicare enrolled primary clinic (Family Medicine) in Tuscaloosa, Alabama. The current practice location for Summit Physician Group Llp is 657 Helen Keller Blvd, Tuscaloosa, Alabama. For appointments, you can reach them via phone at (205) 343-6979. The mailing address for Summit Physician Group Llp is 1655 Mcfarland Blvd N, Po Box 189, Tuscaloosa, Alabama and phone number is (205) 343-6979.

Summit Physician Group Llp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104343581. 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 (205) 343-6979.

Contact Information

Summit Physician Group Llp
657 Helen Keller Blvd
Tuscaloosa
AL 35404-2983
(205) 343-6979
(205) 490-2374

Map and Direction


Primary Care Clinic Profile

Full NameSummit Physician Group Llp
SpecialityFamily Medicine
Location657 Helen Keller Blvd, Tuscaloosa, Alabama
Authorized Official Name and PositionOleksandra Kruhliakivska (BUSINESS MANAGER)
Authorized Official Contact2053436979
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Summit Physician Group Llp
1655 Mcfarland Blvd N
Po Box 189
Tuscaloosa
AL 35406-2212

Ph: (205) 343-6979		Summit Physician Group Llp
657 Helen Keller Blvd
Tuscaloosa
AL 35404-2983

Ph: (205) 343-6979

NPI Details:

NPI Number1104343581
Provider Enumeration Date08/25/2017
Last Update Date05/09/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0042564957
Medicare Enrollment IDO20181113001062

Medical Identifiers

Medical identifiers for Summit Physician Group Llp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104343581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
208M00000XHospitalist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Summit Physician Group Llp acts as a billing entity for following providers:
Provider NameKaren S Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740384817
PECOS PAC ID: 9133112170
Enrollment ID: I20040406000875
Provider NameJennifer L Burdette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669530879
PECOS PAC ID: 7810967874
Enrollment ID: I20040727001623
Provider NameJames C Byrd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134140734
PECOS PAC ID: 8729050752
Enrollment ID: I20040812001270
Provider NameCharles E Abney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689760704
PECOS PAC ID: 7810935574
Enrollment ID: I20050422000094
Provider NameMalcolm R Hendricks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700823697
PECOS PAC ID: 5890797658
Enrollment ID: I20070207000192
Provider NameKeisha G Lowther
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134336886
PECOS PAC ID: 7810064078
Enrollment ID: I20080930000455
Provider NameHaritha V Guttikonda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912162504
PECOS PAC ID: 3678641842
Enrollment ID: I20081001000707
Provider NameJerry Mcknight
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356311005
PECOS PAC ID: 6901920388
Enrollment ID: I20100908000448
Provider NameSumathi Puttu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649470717
PECOS PAC ID: 1850589862
Enrollment ID: I20101217000078
Provider NameJustin R Bevel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164669321
PECOS PAC ID: 8921297730
Enrollment ID: I20110110000750
Provider NameJahana T Hill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811135213
PECOS PAC ID: 9739378092
Enrollment ID: I20110118001074
Provider NameErica Day
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437488681
PECOS PAC ID: 9931386042
Enrollment ID: I20110526000585
Provider NameJamie Lowther
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396955381
PECOS PAC ID: 4385821701
Enrollment ID: I20110613000817
Provider NameAmanda M Stevens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821318858
PECOS PAC ID: 4486893039
Enrollment ID: I20130612000216
Provider NameElizabeth Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073834693
PECOS PAC ID: 3072755651
Enrollment ID: I20130810000049
Provider NameWhitney A. Cannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548719420
PECOS PAC ID: 3779862453
Enrollment ID: I20161121001509
Provider NameNatalya Lyubynska
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932410511
PECOS PAC ID: 8325272685
Enrollment ID: I20170707002187
Provider NameAaron A Jasper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780132290
PECOS PAC ID: 3173880804
Enrollment ID: I20171205000336
Provider NameAmy Lynn Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295224483
PECOS PAC ID: 8325397136
Enrollment ID: I20180827002975
Provider NameEric Tillotson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316300080
PECOS PAC ID: 6305107772
Enrollment ID: I20201021001397
Provider NameSamantha Yvonne Unz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649922469
PECOS PAC ID: 6800279126
Enrollment ID: I20220819001386
Provider NameHaley Brooke Page Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720831738
PECOS PAC ID: 8527501469
Enrollment ID: I20240619001410

Reviews and Comments


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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.