Rebecca    Moul    MD
Contract Details
Affinity Orthopedic Specialists
Facility name
Provider ID
P000000001
NPI
1518161504
Tax ID
364907908
Effective Date
4/18/2019
Last Updated
10/28/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
2709 Legends Parkway
Prattville, AL 36066
United States
Phone
205-397-5200 (Phone)
Billing Details
Address
P.O. Box 24568
Belfast, ME 04915
Billing Phone
877-848-1457
Specialty Type
Surgery, Orthopedic
Map
Address