Jennifer R Decker (NPI# 1104092113, PAC ID# 9335275858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1104092113 |
| PAC ID by PECOS | 9335275858 |
| Professional Enrollment ID | I20170418000358 |
| Full Name | Jennifer R Decker |
| Address |
107 E Watts St Enterprise AL 36330-2511 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 107 E Watts St, Enterprise, AL 36330-2511 | ||
| 150 S Perry St, Montgomery, AL 36104-4227 | 5022442441 | 360CARE SERVICES OF AL LLC |
| Street Address |
107 E WATTS ST |
| City | ENTERPRISE |
| State | AL |
| Zip | 36330-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Mcqueen | Otolaryngology | 107 E Watts St, Enterprise, AL 36330-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Bender Jr. | Optometry | 1020 Boll Weevil Circle, Suite B, Enterprise, AL 36330-1317 | |
| Susan H Walthaus | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| Charles J West | Physical Therapy | Healthactions Pa | 1109 Boll Weevil Circle, Suite 2, Enterprise, AL 36330-1454 |
| William Wade Sharp | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Sandy L Griffin | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Robin D Simmons | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Chris Claassen | Anesthesiology | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Lisa M Wallace | Certified Registered Nurse Anesthetist (crna) | Veronox Anesthesia, LLC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Michael T Kreger | Anesthesiology | Anesthesia Consultants Medical Group PC | 201 E Watts St, Enterprise, AL 36330-1812 |
| Mark A Byard | Urology | Wiregrass Urology, PC | 207 E Watts St, Suite 200, Enterprise, AL 36330-1871 |
| Find all physicians in zip 36330 | |||
| City | ENTERPRISE |
| Zip Code | 36330 |
| Specialty | PODIATRY |
| City + Specialty | ENTERPRISE + PODIATRY |
Please comment or provide details below to improve the information on Jennifer R Decker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.