Eastside Family Medicine - Medicare Primary Care in Athens, AL

Eastside Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Athens, Alabama. The current practice location for Eastside Family Medicine is 22289 Medical Village Dr, Athens, Alabama. For appointments, you can reach them via phone at (256) 232-1414. The mailing address for Eastside Family Medicine is 22289 Medical Village Dr, Athens, Alabama and phone number is (256) 232-1414.

Eastside Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962946970. 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 (256) 232-1414.

Contact Information

Eastside Family Medicine
22289 Medical Village Dr
Athens
AL 35613-2896
(256) 232-1414
Not Available

Primary Care Clinic Profile

Full NameEastside Family Medicine
SpecialityFamily Medicine
Location22289 Medical Village Dr, Athens, Alabama
Authorized Official Name and PositionSebrina B Holt (EXECUTIVE DIRECTOR)
Authorized Official Contact2562169648
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastside Family Medicine
22289 Medical Village Dr
Athens
AL 35613-2896

Ph: (256) 232-1414
Eastside Family Medicine
22289 Medical Village Dr
Athens
AL 35613-2896

Ph: (256) 232-1414

NPI Details:

NPI Number1962946970
Provider Enumeration Date12/09/2016
Last Update Date01/05/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9032494935
Medicare Enrollment IDO20170315002083

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› Verified 5 days ago

Medical Identifiers

Medical identifiers for Eastside Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962946970NPI-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. Eastside Family Medicine acts as a billing entity for following providers:
Provider NameMax R Boone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346352317
PECOS PAC ID: 4183728223
Enrollment ID: I20070330000098

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