Dr Alexander Wong, MD | |
3550 Independence Dr, Birmingham, AL 35209-5710 | |
(205) 949-2806 | |
(205) 949-2875 |
Full Name | Dr Alexander Wong |
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Gender | Male |
Speciality | Pathology - Dermatopathology |
Location | 3550 Independence Dr, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013151554 | NPI | - | NPPES |
171074 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 32285 (Alabama) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 32285 (Alabama) | Secondary |
Entity Name | Skin Pathology Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376970236 PECOS PAC ID: 9537395652 Enrollment ID: O20140110000745 |
Mailing Address | Practice Location Address |
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Dr Alexander Wong, MD 3560 Independence Dr, Birmingham, AL 35209-5703 Ph: (205) 949-2806 | Dr Alexander Wong, MD 3550 Independence Dr, Birmingham, AL 35209-5710 Ph: (205) 949-2806 |
Leona Council, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5038 | |
Dr. David Ullman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-934-4977 | |
Dr. Jonathan G Phillips, MD Pathology Medicare: Medicare Enrolled Practice Location: 924 Montclair Rd, Ste 200, Birmingham, AL 35213 Phone: 205-591-7999 Fax: 205-591-5051 | |
Thomas S Winokur, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Isam Eltoum, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2000 6th Ave S, Birmingham, AL 35233 Phone: 205-934-9999 | |
Dr. Warren Jefferson Clingan Iii, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 924 Montclair Rd Ste 200, Birmingham, AL 35213 Phone: 205-591-7999 Fax: 205-591-5051 |