Maria  E  Bennett    MD
Contract Details
Parkwest Family Medical
Facility name
Provider ID
P000000121
NPI
1053375816
Tax ID
237303127
Effective Date
9/8/1994
Last Updated
6/10/2016
Direct Contract
Yes
Term Date
9/16/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1179 Greenmor Drive
Bessemer, AL 35022
United States
County
Jefferson
Phone
2054818530 (Phone)
Billing Details
Address
P.O. Box 11407
Drawer 473
Birmingham, AL 35246
Specialty Type
Family Practice
Map
Address