| Dr David Kern Stallworth, MD | |
|
2016 S Alabama Ave, Monroeville, AL 36460-3044 | |
| (205) 180-3606 | |
| Not Available |
| Full Name | Dr David Kern Stallworth |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 2016 S Alabama Ave, Monroeville, 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 |
|---|---|---|---|
| 1083662688 | NPI | - | NPPES |
| 051513418 | Other | MCH SURG MCARE PROV. NO. | |
| 051513418 | Other | AL | MCH SURG BCBS PROV. NO. |
| 020054555 | Other | MCH SURG RAILROAD PROVIDE | |
| 051556564 | Medicaid | AL | |
| 009910385 | Other | AL | MCH SURG MEDICAID PROV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 14114 (Alabama) | Primary |
| 207P00000X | Emergency Medicine | 00014114 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe County Hospital | Monroeville, AL | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ich Er Services Of Alabama, Llc | 2365988185 | 13 |
| Monroe County Health Care Authority | 2668365859 | 9 |
| Entity Name | Monroe County Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811027576 PECOS PAC ID: 2668365859 Enrollment ID: O20040203000319 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Southern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Entity Name | Nes Tennessee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
| Entity Name | Ich Er Services Of Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245088236 PECOS PAC ID: 2365988185 Enrollment ID: O20240729000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Kern Stallworth, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr David Kern Stallworth, MD 2016 S Alabama Ave, Monroeville, AL 36460-3044 Ph: (205) 180-3606 |
Dr. Salem George Saloom, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 159 Whetstone St, Monroeville, AL 36460 Phone: 251-743-7486 Fax: 251-743-7400 |