| Wilmer Medical Clinic, Llc | |
|
6353 2nd St Wilmer AL 36587-4453 | |
| (251) 410-7425 | |
| (251) 649-6200 |
| Full Name | Wilmer Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6353 2nd St, Wilmer, Alabama |
| Authorized Official Name and Position | Kristina Ray (OWNER) |
| Authorized Official Contact | 2514107425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmer Medical Clinic, Llc 6353 2nd St Wilmer AL 36587-4453 Ph: (251) 410-7425 | Wilmer Medical Clinic, Llc 6353 2nd St Wilmer AL 36587-4453 Ph: (251) 410-7425 |
| NPI Number | 1649667577 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 09/30/2025 |
| Medicare PECOS PAC ID | 4385954379 |
|---|---|
| Medicare Enrollment ID | O20151103001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649667577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Kristina E Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598831422 PECOS PAC ID: 3779677596 Enrollment ID: I20070924000360 |
| Provider Name | Lloyd S Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457546319 PECOS PAC ID: 6204915556 Enrollment ID: I20080512000385 |
| Provider Name | Jonathan A Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952545444 PECOS PAC ID: 2668638495 Enrollment ID: I20120724000345 |
| Provider Name | Penny X Dupre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417117664 PECOS PAC ID: 2264673219 Enrollment ID: I20151112000722 |
| Provider Name | Deanna Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447750 PECOS PAC ID: 5991050478 Enrollment ID: I20180625002630 |
| Provider Name | Kristina Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710550611 PECOS PAC ID: 0446658082 Enrollment ID: I20211012000882 |
| Provider Name | Sybil Raye Poiroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321784 PECOS PAC ID: 1254709686 Enrollment ID: I20221116001353 |
| Provider Name | Marquita A Nettles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164283297 PECOS PAC ID: 4789022526 Enrollment ID: I20240329001417 |
| Provider Name | Stephanie Hautau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326804725 PECOS PAC ID: 3971941220 Enrollment ID: I20240404003378 |
Kray Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6353 2nd St, Wilmer, AL 36587 Phone: 251-753-4008 |