| Tennessee Valley Internal Medicine, Pc | |
|
3809 Sullivan St Suite 7 Madison AL 35758-2372 | |
| (256) 428-1096 | |
| (256) 428-1097 |
| Full Name | Tennessee Valley Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3809 Sullivan St, Madison, Alabama |
| Authorized Official Name and Position | Nicholas A Patellis (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2565094010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Valley Internal Medicine, Pc 3809 Sullivan St Suite 7 Madison AL 35758-2372 Ph: (256) 428-1096 | Tennessee Valley Internal Medicine, Pc 3809 Sullivan St Suite 7 Madison AL 35758-2372 Ph: (256) 428-1096 |
| NPI Number | 1174892780 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 1759548092 |
|---|---|
| Medicare Enrollment ID | O20120130000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892780 | NPI | - | NPPES |
| 136258 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas A Patellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366582835 PECOS PAC ID: 3274694864 Enrollment ID: I20100621000383 |
| Provider Name | Brittany Leigh Brakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890945 PECOS PAC ID: 0345597423 Enrollment ID: I20180719003860 |
| Provider Name | Lillian Teicher Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811517402 PECOS PAC ID: 0547684789 Enrollment ID: I20200721004457 |
| Provider Name | April Patellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376599035 PECOS PAC ID: 6204933526 Enrollment ID: I20220225000409 |
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 | |
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 |