| West Point Family Medical Practice Llc | |
|
40131 County Road 1141 Vinemont AL 35179 | |
| (256) 531-4987 | |
| Not Available |
| Full Name | West Point Family Medical Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 40131 County Road 1141, Vinemont, Alabama |
| Authorized Official Name and Position | Patricia D Wilhite (OWNER) |
| Authorized Official Contact | 2565314987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Point Family Medical Practice Llc 380 County Road 1200 Vinemont AL 35179-4601 Ph: (256) 531-4987 | West Point Family Medical Practice Llc 40131 County Road 1141 Vinemont AL 35179 Ph: (256) 531-4987 |
| NPI Number | 1427568336 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/05/2017 |
| Medicare PECOS PAC ID | 1951665173 |
|---|---|
| Medicare Enrollment ID | O20180515002751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427568336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard A Bucco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945724 PECOS PAC ID: 7315902210 Enrollment ID: I20060301000353 |
| Provider Name | Patricia D Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639329576 PECOS PAC ID: 2365501954 Enrollment ID: I20081218000563 |