| Dr John O Newcomb, MD | |
|
115 Harper Court, Tuscaloosa, AL 35401-1250 | |
| (205) 366-3010 | |
| (205) 366-3012 |
| Full Name | Dr John O Newcomb |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 115 Harper Court, Tuscaloosa, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992717110 | NPI | - | NPPES |
| 051519117NEW | Other | AL | BLUECROSSBLUESHIELD OF AL |
| 051081498NEW | Other | AL | BLUECROSSBLUESHIELD OF AL |
| 930126722 | Other | AL | MEDICARE RAILROAD |
| 009953610 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12815 (Alabama) | Primary |
| 207P00000X | Emergency Medicine | 12815 (Alabama) | Secondary |
| Entity Name | State Of Alabama Department Of Finance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194 |
| Entity Name | Relias Emergency Medicine Specialists Of Northport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699261149 PECOS PAC ID: 2668724634 Enrollment ID: O20181003001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John O Newcomb, MD Po Box 21231, Tuscaloosa, AL 35402-1250 Ph: (205) 366-3010 | Dr John O Newcomb, MD 115 Harper Court, Tuscaloosa, AL 35401-1250 Ph: (205) 366-3010 |
Schae Hanson, Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 | |
Dr. Ashok V Mujumdar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 University Blvd E, Tuscaloosa, AL 35404 Phone: 205-554-4196 Fax: 205-554-4196 | |
Richard D. Friend, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772 | |
Tameka Carmichael Hairston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772 | |
Dr. Subhod Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-7216 | |
Dorian Christine Bonam, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2730 M. L King Jr Blvd, Tuscaloosa, AL 35403 Phone: 205-349-3250 | |
Joy Harris, CRNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-758-6647 |