Jasper Family Practice Center Pc - Medicare Primary Care in Jasper, AL

Jasper Family Practice Center Pc is a medicare enrolled primary clinic (Family Medicine) in Jasper, Alabama. The current practice location for Jasper Family Practice Center Pc is 2201 N Airport Rd, Jasper, Alabama. For appointments, you can reach them via phone at (205) 221-9351. The mailing address for Jasper Family Practice Center Pc is Po Box 1474, Jasper, Alabama and phone number is (205) 221-9351.

Jasper Family Practice Center Pc is licensed to practice in Alabama (license number ). The clinic also participates in the medicare program and its NPI number is 1275535361. 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) 221-9351.

Contact Information

Jasper Family Practice Center Pc
2201 N Airport Rd
Jasper
AL 35504-7058
(205) 221-9351
(205) 221-4353

Primary Care Clinic Profile

Full NameJasper Family Practice Center Pc
SpecialityFamily Medicine
Location2201 N Airport Rd, Jasper, Alabama
Authorized Official Name and PositionDelinda Stiles (ASSISTANT OFFICE MANAGER)
Authorized Official Contact2052219351
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jasper Family Practice Center Pc
Po Box 1474
Jasper
AL 35502-1474

Ph: (205) 221-9351
Jasper Family Practice Center Pc
2201 N Airport Rd
Jasper
AL 35504-7058

Ph: (205) 221-9351

NPI Details:

NPI Number1275535361
Provider Enumeration Date08/10/2005
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2163494139
Medicare Enrollment IDO20040810000905

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Medical Identifiers

Medical identifiers for Jasper Family Practice Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275535361NPI-NPPES
528601190MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jasper Family Practice Center Pc acts as a billing entity for following providers:
Provider NameDerrick Bowling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184626277
PECOS PAC ID: 2264474188
Enrollment ID: I20050601000377

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Provider NameKatherine Bivona
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255482832
PECOS PAC ID: 9830293208
Enrollment ID: I20070326000251

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Provider NameJohn S Bivona
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740338904
PECOS PAC ID: 1355445107
Enrollment ID: I20070403000628

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Provider NameRebekah Koza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396119244
PECOS PAC ID: 8729374210
Enrollment ID: I20160909000548

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› Verified 8 days ago

News Archive

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› Verified 8 days ago


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