Abc Pediatrics West Llc - Medicare Primary Care in Jasper, AL

Abc Pediatrics West Llc is a medicare enrolled primary clinic (Family Medicine) in Jasper, Alabama. The current practice location for Abc Pediatrics West Llc is 400 19th St E, Jasper, Alabama. For appointments, you can reach them via phone at (205) 936-8107. The mailing address for Abc Pediatrics West Llc is 400 19th St E, Jasper, Alabama and phone number is (205) 936-8107.

Abc Pediatrics West Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316714512. 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) 936-8107.

Contact Information

Abc Pediatrics West Llc
400 19th St E
Jasper
AL 35501-5416
(205) 936-8107
(205) 512-2548

Primary Care Clinic Profile

Full NameAbc Pediatrics West Llc
SpecialityFamily Medicine
Location400 19th St E, Jasper, Alabama
Authorized Official Name and PositionLeah Varden Gann (CERTIFIED RN PRACTITIONER)
Authorized Official Contact2059368107
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abc Pediatrics West Llc
400 19th St E
Jasper
AL 35501-5416

Ph: (205) 936-8107
Abc Pediatrics West Llc
400 19th St E
Jasper
AL 35501-5416

Ph: (205) 936-8107

NPI Details:

NPI Number1316714512
Provider Enumeration Date12/07/2023
Last Update Date12/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3678925344
Medicare Enrollment IDO20240118000612

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Medical Identifiers

Medical identifiers for Abc Pediatrics West Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316714512NPI-NPPES

Medical Taxonomies and Licenses

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

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Abc Pediatrics West Llc acts as a billing entity for following providers:
Provider NameLeah V Gann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780930826
PECOS PAC ID: 8325273972
Enrollment ID: I20131106001965

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