Dr Karen Stacy Moore, MD | |
5717 Bradford Ln, Tuscaloosa, AL 35405-5680 | |
(205) 535-0325 | |
(507) 607-8721 |
Full Name | Dr Karen Stacy Moore |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5717 Bradford Ln, Tuscaloosa, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740384817 | NPI | - | NPPES |
009912061 | Medicaid | AL | |
051517128 | Medicaid | AL | |
051517128 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00025444 (Alabama) | Primary |
Entity Name | American Family Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
Entity Name | Summit Physician Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104343581 PECOS PAC ID: 0042564957 Enrollment ID: O20181113001062 |
Entity Name | A Pattern Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184102881 PECOS PAC ID: 9436495595 Enrollment ID: O20190109003536 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
Mailing Address | Practice Location Address |
---|---|
Dr Karen Stacy Moore, MD Po Box 397, Cottondale, AL 35453-0104 Ph: (205) 535-0325 | Dr Karen Stacy Moore, MD 5717 Bradford Ln, Tuscaloosa, AL 35405-5680 Ph: (205) 535-0325 |
Dr. Ashok V Mujumdar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 University Blvd E, Tuscaloosa, AL 35404 Phone: 205-554-4196 Fax: 205-554-4196 | |
Richard D. Friend, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772 | |
Tameka Carmichael Hairston, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772 | |
Dr. Subhod Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-7216 | |
Dorian Christine Bonam, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2730 M. L King Jr Blvd, Tuscaloosa, AL 35403 Phone: 205-349-3250 | |
Dr. Stephen A Roberts, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1771 Skyland Blvd E, Tuscaloosa, AL 35405 Phone: 205-553-0199 Fax: 205-553-3024 | |
David Maxwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 5th Avenue East, Tuscaloosa, AL 35401 Phone: 205-348-6262 Fax: 205-348-0630 |