Don E Beach, M.D.
Individual provider Active NPI Family Medicine Physician · Moulton, AL
NPI 1366416943 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1366416943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9068 (AL)
- Practice address
- 633 Lawrence St
Moulton, AL 35650-1532 - Phone
- (256) 974-6646
- Fax
- (256) 974-8654
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
633 Lawrence St
Moulton, AL 35650-1532
Phone (256) 974-6646
Hospital & facility affiliations
- Decatur Morgan Hospital - Decatur Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060807000463 | AL | Practitioner - Family Practice | 9234142688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9068 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald E Beach PC | Family Medicine | Current |
Accepting new patients |
| Attentus Moulton, LLC | Past | Accepting new patients | |
| Singing River Healthcare, LLC | Past |
Accepting new patients |
Locations
633 Lawrence St
Moulton, AL 35650
Phone (256) 974-6646
Interoperability endpoints
- dbeach@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9068 | AL | Yes |
Addresses
Primary practice location
633 Lawrence St
Moulton, AL 35650-1532
Mailing address
633 Lawrence St
P.O. Box 8
Moulton, AL 35650-1532
Phone (256) 974-6646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000085794 | Medicaid | AL | |
| 009936932 | Medicaid | AL |
Other providers in Moulton, AL
- Attentus Moulton, LLC
- Jayci Hamrick Avery
- Bradley Bailey
- Amber F Barcal
- Macy Montgomery Bates
- Sandra Willingham Biddle
- Charles Wayne Borden
- Jared Graham Boyles
- Corey Britton
- Camilla Lynn Brown
All providers in Moulton, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.