Thomas Walter Irving, MD | |
3401 Medical Park Dr, Bldg 1 Ste 102, Mobile, AL 36693-3318 | |
(251) 665-8060 | |
(251) 665-8061 |
Full Name | Thomas Walter Irving |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 3401 Medical Park Dr, Mobile, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942252846 | NPI | - | NPPES |
000015855 | Other | AL | MEDICARE |
051015855 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 8971 (Alabama) | Primary |
Entity Name | Imc-family Medical Of Mobile Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952438160 PECOS PAC ID: 1456300672 Enrollment ID: O20050114000297 |
Mailing Address | Practice Location Address |
---|---|
Thomas Walter Irving, MD 5320 Hwy 90 Service Road, Mobile, AL 36619 Ph: (251) 602-1667 | Thomas Walter Irving, MD 3401 Medical Park Dr, Bldg 1 Ste 102, Mobile, AL 36693-3318 Ph: (251) 665-8060 |
Morgan Rey Cardon, MD General Practice Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Dr Rm 714, Mobile, AL 36617 Phone: 251-471-7152 | |
Stephen Blaise Chromiak, MD General Practice Medicare: Medicare Enrolled Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8847 Fax: 251-690-8859 | |
Dr. Kristina Elaine Duffy, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Usa Medical Center, Mobile, AL 36617 Phone: 251-471-7117 | |
Dr. Jerome Alexander Ramirez-marquez, MD General Practice Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Dr Rm 714, Mobile, AL 36617 Phone: 251-471-7786 | |
Justin L. Ellerman, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 575 Stanton Rd, Mobile, AL 36617 Phone: 251-471-7207 Fax: 251-471-7468 | |
Charles Franklin Yeager, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3401 Medical Park Dr, Bldg 1 Ste 102, Mobile, AL 36693 Phone: 251-665-8060 Fax: 251-665-8061 | |
Dr. Louie C. Wilson, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 |