Ian Grant Malcolm, MD | |
619 19th Street South, Birmingham, AL 35233 | |
(205) 934-6600 | |
Not Available |
Full Name | Ian Grant Malcolm |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 619 19th Street South, 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 |
---|---|---|---|
1649224874 | NPI | - | NPPES |
16-00152 | Other | AL | UNITED HEALTHCARE |
51504313 | Other | AL | BCBS |
00124237 | Medicaid | MS | |
51533244 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 8704 (Alabama) | Primary |
Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Entity Name | University Of South Alabama |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
Entity Name | University Of South Alabama Health Services Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962455881 PECOS PAC ID: 8426957952 Enrollment ID: O20040128000204 |
Entity Name | Usa Health Physician Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
Entity Name | Usa Health Physician Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871150508 PECOS PAC ID: 9931436912 Enrollment ID: O20200125000134 |
Mailing Address | Practice Location Address |
---|---|
Ian Grant Malcolm, MD Po Box 55310, Birmingham, AK 35255-5310 Ph: () - | Ian Grant Malcolm, MD 619 19th Street South, Birmingham, AL 35233 Ph: (205) 934-6600 |
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 |