| Alabama Internal Medicine Pc | |
|
3536 Vann Rd # B Birmingham AL 35235-3207 | |
| (205) 838-3200 | |
| (205) 838-6981 |
| Full Name | Alabama Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3536 Vann Rd # B, Birmingham, Alabama |
| Authorized Official Name and Position | Robin Hand (OFFICE MANAGER) |
| Authorized Official Contact | 2058383200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Internal Medicine Pc 48 Medical Park Dr E Suite 356 Birmingham AL 35235-3400 Ph: (205) 838-3200 | Alabama Internal Medicine Pc 3536 Vann Rd # B Birmingham AL 35235-3207 Ph: (205) 838-3200 |
| NPI Number | 1538173281 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 3577508084 |
|---|---|
| Medicare Enrollment ID | O20050624000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538173281 | NPI | - | NPPES |
| 1700890233 | Other | AL | DR. KULBACK INDIVIDUAL NPI |
| 51516833 | Other | AL | STEPHEN JACKSON M.D. BCBS |
| 51528670 | Other | AL | LORI LYNN D.O. BCBS |
| 051556109 | Medicaid | AL | |
| 1881865103 | Other | AL | INDIVIDUAL NPI FOR DR. GILBERT FRANKLIN DOUGLAS IV |
| P00274219 | Other | AL | NEW RR MEDICARE INDIVIDUAL PTAN 5/9/08 DR. LORI LYNN |
| 1972517472 | Other | AL | DR. LYNN INDIVIDUAL NPI |
| 1790799211 | Other | AL | DR. JACKSON INDIVIDUAL NPI |
| 1265604227 | Other | AL | INDIVIDUAL NPI FOR DR. HERNANDO CARTER |
| P00004569 | Other | AL | DR. JACISON INDIVIDUAL RR MEDICARE |
| 529913030 | Medicaid | AL | |
| 051553469 | Medicaid | AL | |
| 110245852 | Other | AL | DR. KULBACK INDIVIDUAL RR MEDICARE |
| 51512225 | Other | AL | STEVEN KULBACK M.D. BCBS |
| 51516833 | Other | AL | DR. JACKSON BCBS |
| CK7413 | Other | RR MCR | |
| P00167784 | Other | AL | DR. LYNN INDIVIDUAL RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Alabama) | Primary |
| Provider Name | Steven Joseph Kulback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700890233 PECOS PAC ID: 1759326267 Enrollment ID: I20101111000847 |
| Provider Name | Nicholas Echemendia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144583436 PECOS PAC ID: 9133356140 Enrollment ID: I20160718000351 |
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