Dr Zachary Eugene Clark, MD | |
619 19th St S, Birmingham, AL 35249 | |
(205) 934-4011 | |
Not Available |
Full Name | Dr Zachary Eugene Clark |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 619 19th St S, Birmingham, 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 |
---|---|---|---|
1023429495 | NPI | - | NPPES |
35318 | Other | AL | STATE MEDICAL LICENSE |
35318 | Other | AL | ALABAMA CONTROLLED SUBSTANCE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 35318 (Alabama) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 35318 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Alabama Hospital | Birmingham, AL | Hospital |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Mercy Hospital Ada | Ada, OK | Hospital |
Cullman Regional Medical Center | Cullman, AL | Hospital |
Mercy Health Love County | Marietta, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Alabama Health Services Foundation, Pc | 1951213107 | 2328 |
West County Radiological Group Inc | 8527966944 | 80 |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Entity Name | Selma Radiology Associates P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429296 PECOS PAC ID: 3870497720 Enrollment ID: O20031121000535 |
Entity Name | Montgomery Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023046604 PECOS PAC ID: 2961301999 Enrollment ID: O20040108000123 |
Entity Name | Alabama Imaging P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689621211 PECOS PAC ID: 2365341328 Enrollment ID: O20040108000255 |
Entity Name | West County Radiological Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477500585 PECOS PAC ID: 8527966944 Enrollment ID: O20230821002331 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary Eugene Clark, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Dr Zachary Eugene Clark, MD 619 19th St S, Birmingham, AL 35249 Ph: (205) 934-4011 |
Dr. Garrett Colby, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Jt N342, Birmingham, AL 35249 Phone: 205-934-3108 Fax: 205-975-4413 | |
Drexell H Boggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Rm: 2253, Birmingham, AL 35233 Phone: 205-975-9399 Fax: 205-975-5184 | |
James Walker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Joseph Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Michelle M Mcnamara, MD Radiology Medicare: Medicare Enrolled Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-4011 | |
Sharda Mehar Bajaj, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1526 5th Ave S, Birmingham, AL 35233 Phone: 205-279-2860 | |
Gina Elizabeth Rebesco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-975-0222 |