Crimson Internal Medicine, Llc | |
1015 Rice Valley Rd N Tuscaloosa AL 35406 | |
(205) 349-1606 | |
(205) 349-3263 |
Full Name | Crimson Internal Medicine, Llc |
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Speciality | Internal Medicine |
Location | 1015 Rice Valley Rd N, Tuscaloosa, Alabama |
Authorized Official Name and Position | Nancy Tactuk Romanenko (PHYSICIAN) |
Authorized Official Contact | 2053491606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crimson Internal Medicine, Llc 1015 Rice Valley Rd N Tuscaloosa AL 35406-2782 Ph: (205) 349-1606 | Crimson Internal Medicine, Llc 1015 Rice Valley Rd N Tuscaloosa AL 35406 Ph: (205) 349-1606 |
NPI Number | 1558731067 |
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Provider Enumeration Date | 09/28/2015 |
Last Update Date | 08/15/2018 |
Medicare PECOS PAC ID | 7214239037 |
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Medicare Enrollment ID | O20160111000678 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558731067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 31064 (Alabama) | Primary |
Provider Name | Nancy Tactuk Romanenko |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699923102 PECOS PAC ID: 8123297124 Enrollment ID: I20110809000165 |
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