| Dr David W Cosgrove, MD | |
|
1912 Al Highway 157, Cullman, AL 35058-0609 | |
| (256) 737-2639 | |
| (256) 737-2849 |
| Full Name | Dr David W Cosgrove |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 1912 Al Highway 157, Cullman, 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 |
|---|---|---|---|
| 1952361735 | NPI | - | NPPES |
| 51078440 | Other | AL | BLUE CROSS PROV # |
| 529804180 | Medicaid | AL | |
| 000078440 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | AL19927 (Alabama) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | MD.19927 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prattville Baptist Hospital | Prattville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Montgomery Pc | 5799684148 | 80 |
| Entity Name | Premier Anesthesia Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636233 PECOS PAC ID: 5799684148 Enrollment ID: O20040105000491 |
| Entity Name | Montgomery Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043281553 PECOS PAC ID: 9537153572 Enrollment ID: O20040412001708 |
| Entity Name | Cullman Regional Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326507013 PECOS PAC ID: 1456694082 Enrollment ID: O20190522000608 |
| Entity Name | Blue Lake Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David W Cosgrove, MD Po Box 661495, Birmingham, AL 35266-1495 Ph: (205) 979-5882 | Dr David W Cosgrove, MD 1912 Al Highway 157, Cullman, AL 35058-0609 Ph: (256) 737-2639 |
Dr. Adam Benjamin Crisologo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2682 Fax: 256-737-2849 | |
Victoria Underwood Clay, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1948 Al Highway 157, Cullman, AL 35058 Phone: 256-735-5560 Fax: 256-801-7364 | |
Peter Albert Crisologo, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2637 Fax: 256-734-6257 | |
Gary Keith Morton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2585 | |
James R. Layton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2000 | |
Robin Tate Hall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1912 Alabama Hwy 157, Cullman Regional Medical Center, Cullman, AL 35058 Phone: 256-737-2638 Fax: 256-734-6257 | |
Kevin Johnson, MD PC Anesthesiology Medicare: Medicare Enrolled Practice Location: 1403 Wall Street, Cullman, AL 35055 Phone: 256-734-9472 Fax: 256-734-9272 |