Wiregrass Wound Care Consultants Llc - Medicare Primary Care in Dothan, AL

Wiregrass Wound Care Consultants Llc is a medicare enrolled primary clinic (Internal Medicine) in Dothan, Alabama. The current practice location for Wiregrass Wound Care Consultants Llc is 1908 Fairview Ave, Dothan, Alabama. For appointments, you can reach them via phone at (251) 295-2815. The mailing address for Wiregrass Wound Care Consultants Llc is 725 N Highway A1a, Suite C112-113, Jupiter, Florida and phone number is (561) 578-8407.

Wiregrass Wound Care Consultants Llc is licensed to practice in Alabama (license number 29664). The clinic also participates in the medicare program and its NPI number is 1003245838. 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 (251) 295-2815.

Contact Information

Wiregrass Wound Care Consultants Llc
1908 Fairview Ave
Dothan
AL 36301-3008
(251) 295-2815
(251) 295-2815

Primary Care Clinic Profile

Full NameWiregrass Wound Care Consultants Llc
SpecialityInternal Medicine
Location1908 Fairview Ave, Dothan, Alabama
Authorized Official Name and PositionJeffrey Herbert Fadil (PHYSICIAN)
Authorized Official Contact2512952815
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wiregrass Wound Care Consultants Llc
725 N Highway A1a
Suite C112-113
Jupiter
FL 33477-4571

Ph: (561) 578-8407
Wiregrass Wound Care Consultants Llc
1908 Fairview Ave
Dothan
AL 36301-3008

Ph: (251) 295-2815

NPI Details:

NPI Number1003245838
Provider Enumeration Date11/02/2013
Last Update Date12/09/2013

Medicare PECOS Information:

Medicare PECOS PAC ID0042449571
Medicare Enrollment IDO20140204000437

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Medical Identifiers

Medical identifiers for Wiregrass Wound Care Consultants Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003245838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 29664 (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. Wiregrass Wound Care Consultants Llc acts as a billing entity for following providers:
Provider NameJeffrey H Fadil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467529495
PECOS PAC ID: 1759437510
Enrollment ID: I20090918000481

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