Lakeside Clinic Llc - Medicare Primary Care in Guntersville, AL

Lakeside Clinic Llc is a medicare enrolled primary clinic (Family Medicine) in Guntersville, Alabama. The current practice location for Lakeside Clinic Llc is 2337 Homer Clayton Drive, Guntersville, Alabama. For appointments, you can reach them via phone at (256) 582-5131. The mailing address for Lakeside Clinic Llc is 2337 Homer Clayton Drive, Guntersville, Alabama and phone number is (256) 582-5131.

Lakeside Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477657823. 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) 582-5131.

Contact Information

Lakeside Clinic Llc
2337 Homer Clayton Drive
Guntersville
AL 35976
(256) 582-5131
(256) 582-1100

Primary Care Clinic Profile

Full NameLakeside Clinic Llc
SpecialityFamily Medicine
Location2337 Homer Clayton Drive, Guntersville, Alabama
Authorized Official Name and PositionCarolyn H Mason (ADMINISTRATOR)
Authorized Official Contact2565825131
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeside Clinic Llc
2337 Homer Clayton Drive
Guntersville
AL 35976

Ph: (256) 582-5131
Lakeside Clinic Llc
2337 Homer Clayton Drive
Guntersville
AL 35976

Ph: (256) 582-5131

NPI Details:

NPI Number1477657823
Provider Enumeration Date09/07/2006
Last Update Date04/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8628980034
Medicare Enrollment IDO20031104000389

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Medical Identifiers

Medical identifiers for Lakeside Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477657823NPI-NPPES
23185OtherREED-JOHNSON AL LIC NUMB
051550006OtherBOGGESS PROVIDER NUMBER
051509352OtherREED-JOHNSON PROVIDER NUM
051518706OtherFOLEY PROVIDER NUMBER
22839OtherNIXON AL LIC NUMBER
9801OtherBOGGESS AL LIC NUMBER
051502549OtherNIXON PROVIDER NUMBER
10014OtherLARSON AL LIC NUMBER
051550004OtherLARSON PROVIDER NUMBER
25574OtherFOLEY AL LIC NUMBER

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. Lakeside Clinic Llc acts as a billing entity for following providers:
Provider NameJohn W Boggess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699731935
PECOS PAC ID: 3779559927
Enrollment ID: I20040908001378

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Provider NameWilliam A Nixon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699731927
PECOS PAC ID: 6507832771
Enrollment ID: I20040908001511

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Provider NameJeffrey M Saylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174589410
PECOS PAC ID: 3274509336
Enrollment ID: I20040909000509

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Provider NameJoel C Milligan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093829640
PECOS PAC ID: 9931190113
Enrollment ID: I20100616000766

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Provider NameJoshua D Bell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548599798
PECOS PAC ID: 7810185535
Enrollment ID: I20101222000601

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Provider NameAmanda Noel Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265893952
PECOS PAC ID: 7618276197
Enrollment ID: I20160504002748

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Provider NameMorgan Chatham Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801272638
PECOS PAC ID: 9638452147
Enrollment ID: I20180726001128

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Provider NameEmbril Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982101846
PECOS PAC ID: 5698178119
Enrollment ID: I20210721003179

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Provider NameHaley Virginia Gates
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912403247
PECOS PAC ID: 0446655153
Enrollment ID: I20210818002718

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Provider NameStephanie Mashae Beaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952052631
PECOS PAC ID: 6305239468
Enrollment ID: I20220214000536

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› Verified 4 days ago


Family Medicine in Guntersville, AL

Marshall Medical Center North Jones Pediatric Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 45 Medical Park Dr, B, Guntersville, AL 35976
Phone: 256-571-8969    Fax: 256-571-8980
Lakeside North
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 38 Rowe Dr, Guntersville, AL 35976
Phone: 256-571-8460    Fax: 256-571-8464
Marshall Family Medicine
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7938 Alabama Hwy 69, Ste 350, Guntersville, AL 35976
Phone: 256-571-8500    Fax: 256-571-8502
Marshall Medical Center North Family Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7938 Al Highway 69, Suite 360, Guntersville, AL 35976
Phone: 256-571-8580    Fax: 256-571-8585
Lakeside North Family Medicine, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 38 Rowe Dr, Guntersville, AL 35976
Phone: 256-571-8460    Fax: 256-571-8464
Grant Family Practice Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1241 Blount Ave, Guntersville, AL 35976
Phone: 256-582-6377    Fax: 256-582-6376
Lakeside North, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7938 Al Highway 69, Suite 130, Guntersville, AL 35976
Phone: 256-571-8460    Fax: 256-571-8464

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