Spedale Md Pc - Medicare Primary Care in Dothan, AL

Spedale Md Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Dothan, Alabama. The current practice location for Spedale Md Pc is 3113 Wesley Way Ste 1, Dothan, Alabama. For appointments, you can reach them via phone at (334) 699-5123. The mailing address for Spedale Md Pc is 3113 Wesley Way Ste 1, Dothan, Alabama and phone number is (334) 699-5123.

Spedale Md Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184273096. 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 (334) 699-5123.

Contact Information

Spedale Md Pc
3113 Wesley Way Ste 1
Dothan
AL 36305-2004
(334) 699-5123
(334) 699-5125

Primary Care Clinic Profile

Full NameSpedale Md Pc
SpecialityClinic/Center
Location3113 Wesley Way Ste 1, Dothan, Alabama
Authorized Official Name and PositionAnthony Roland Spedale (PHYSICIAN)
Authorized Official Contact3346995123
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spedale Md Pc
3113 Wesley Way Ste 1
Dothan
AL 36305-2004

Ph: (334) 699-5123
Spedale Md Pc
3113 Wesley Way Ste 1
Dothan
AL 36305-2004

Ph: (334) 699-5123

NPI Details:

NPI Number1184273096
Provider Enumeration Date09/04/2019
Last Update Date11/06/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3779815477
Medicare Enrollment IDO20191030000905

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Medical Identifiers

Medical identifiers for Spedale Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184273096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Spedale Md Pc acts as a billing entity for following providers:
Provider NameAnthony Spedale
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699778662
PECOS PAC ID: 1052491594
Enrollment ID: I20100517000099

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