Dr David Kern Stallworth, MD | |
2016 S Alabama Ave, Monroeville, AL 36460-3044 | |
(205) 180-3606 | |
Not Available |
Full Name | Dr David Kern Stallworth |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 37 Years |
Location | 2016 S Alabama Ave, Monroeville, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083662688 | NPI | - | NPPES |
051513418 | Other | MCH SURG MCARE PROV. NO. | |
051513418 | Other | AL | MCH SURG BCBS PROV. NO. |
020054555 | Other | MCH SURG RAILROAD PROVIDE | |
051556564 | Medicaid | AL | |
009910385 | Other | AL | MCH SURG MEDICAID PROV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 14114 (Alabama) | Primary |
207P00000X | Emergency Medicine | 00014114 (Alabama) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Monroe County Hospital | Monroeville, AL | Hospital |
Medical Center Enterprise | Enterprise, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monroe County Health Care Authority | 2668365859 | 7 |
Nes Tennessee, Inc. | 3678472040 | 43 |
Entity Name | Monroe County Health Care Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811027576 PECOS PAC ID: 2668365859 Enrollment ID: O20040203000319 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | App Of Alabama Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
Entity Name | Southern Alabama Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Mailing Address | Practice Location Address |
---|---|
Dr David Kern Stallworth, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr David Kern Stallworth, MD 2016 S Alabama Ave, Monroeville, AL 36460-3044 Ph: (205) 180-3606 |
Dr. Salem George Saloom, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 159 Whetstone St, Monroeville, AL 36460 Phone: 251-743-7486 Fax: 251-743-7400 |