Raymond E Poore Jr, MD | |
1780 Mcfarland Blvd N, Tuscaloosa, AL 35406-2136 | |
(205) 345-7351 | |
(205) 345-8476 |
Full Name | Raymond E Poore Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 1780 Mcfarland Blvd N, Tuscaloosa, 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 |
---|---|---|---|
1851357933 | NPI | - | NPPES |
510-68253 | Other | AL | BCBS OF AL |
114258 | Medicaid | AL | |
114261 | Medicaid | AL | |
511-00713 | Other | AL | BCBS OF AL |
114264 | Medicaid | AL | |
510-68237 | Other | AL | BCBS OF AL |
510-68270 | Other | AL | BCBS OF AL |
114255 | Medicaid | AL | |
20891 | Other | AL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 20891 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
Vaughan Regional Medical Center Parkway Campus | Selma, AL | Hospital |
Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
Fayette Medical Center | Fayette, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Physician Network, P.c. | 0840337721 | 24 |
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | Southeast Physician Network, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598090839 PECOS PAC ID: 0840337721 Enrollment ID: O20091026000423 |
Mailing Address | Practice Location Address |
---|---|
Raymond E Poore Jr, MD 1400 Afflink Pl, Suite 100, Tuscaloosa, AL 35406-2289 Ph: (205) 366-9740 | Raymond E Poore Jr, MD 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406-2136 Ph: (205) 345-7351 |
Kenneth W Aldridge, MD Urology Medicare: Medicare Enrolled Practice Location: 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401 Phone: 205-344-9393 Fax: 205-758-6750 | |
John W Duffy Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 | |
Dr. Howard N Winfield, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401 Phone: 205-344-9393 Fax: 205-759-7744 | |
Ingrum W Bankston Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 | |
Dr. Winston Murphree Crute, MD Urology Medicare: Medicare Enrolled Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 | |
Dr. Matthew Robert Thom, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401 Phone: 205-344-9393 Fax: 205-759-7744 |