Manuel Caceres Serrano, MD
Individual provider Active NPI Surgery Physician · Talladega, AL
NPI 1407081300 · NPPES record last updated Aug 3, 2009
Key facts
- NPI
- 1407081300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD29431 (AL)
- Practice address
- 109 Coosa St E Ste B
Talladega, AL 35160-2154 - Phone
- (256) 761-0921
- Fax
- (256) 761-0947
- NPI assigned
- May 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Hospital and Clinic, Inc
Practice addresses (Care Compare)
1722 Pine St
Montgomery, AL 36106-1158
1722 Pine St
Montgomery, AL 36106-1160
1725 Pine St
Attn Patient Financial Services
Montgomery, AL 36106-1158
Hospital & facility affiliations
- Jackson Hospital & Clinic Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 11 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Removal of tissue | 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 |
|---|---|---|---|---|
| I20090814000257 | AL | Practitioner - General Surgery | 3274687975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29431 | AL | MD | Surgery Physician |
| MD434060 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital & Clinic, Inc. | Current |
Accepting new patients | |
| Jackson Hospital and Clinic Inc. | Surgery | Current |
Accepting new patients |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients |
Locations
321 Greenville Byp
Ste 2
Greenville, AL 36037
1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123
1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337
1722 Pine St
Ste 201
Montgomery, AL 36106
Phone (334) 264-8741
1722 Pine St
Ste 406
Montgomery, AL 36106
Phone (334) 293-6741
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
1840 E Main St
Prattville, AL 36066
Phone (334) 323-4000
Interoperability endpoints
- manuel.caceres.1@9186.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD29431 | AL | Yes |
| Surgery Physician | 208600000X | MD434060 | PA |
Addresses
Primary practice location
109 Coosa St E Ste B
Talladega, AL 35160-2154
Mailing address
109 Coosa St E Ste B
Talladega, AL 35160-2154
Phone (256) 761-0921
Other providers in Talladega, AL
- Brand Central Optical
- Shayna Bridges
- April Brown
- Abby Burke
- BW Sports Practice, LLC
- Kameron C. Carden
- Cardiovascular Associates of N. Alabama, P.C.
- Holli Casey
- Cassie Medical Training Services LLC
- Teresa Caudle
All providers in Talladega, AL · Surgery 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 Aug 3, 2009. 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.