| Wills Valley Family Medicine Llc | |
|
13280 County Road 51 Collinsville AL 35961-4174 | |
| (256) 524-3090 | |
| (256) 524-2885 |
| Full Name | Wills Valley Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 13280 County Road 51, Collinsville, Alabama |
| Authorized Official Name and Position | Frances H Koe (OWNER) |
| Authorized Official Contact | 2565243090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wills Valley Family Medicine Llc 13280 County Road 51 Collinsville AL 35961-4174 Ph: (256) 524-3090 | Wills Valley Family Medicine Llc 13280 County Road 51 Collinsville AL 35961-4174 Ph: (256) 524-3090 |
| NPI Number | 1316103237 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 9436226016 |
|---|---|
| Medicare Enrollment ID | O20080923000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316103237 | NPI | - | NPPES |
| 1316103237 | Medicaid | AL | |
| 510I080356 | Other | AL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frances Koe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669566527 PECOS PAC ID: 0840394094 Enrollment ID: I20070328000672 |
| Provider Name | Misty M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520230 PECOS PAC ID: 9931511177 Enrollment ID: I20201214000339 |
Dekalb Clinic South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13280 County Road 51, Collinsville, AL 35961 Phone: 307-782-7560 | |
Dekalb Clinic South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13280 County Road 51, Collinsville, AL 35961 Phone: 307-782-7560 | |
Sunil K Jaiswal, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Main St, Collinsville, AL 35961 Phone: 256-524-4788 Fax: 256-524-4788 |