| Dr Karen Stacy Moore, MD | |
|
657 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | |
| (205) 343-6979 | |
| (205) 490-2374 |
| Full Name | Dr Karen Stacy Moore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 657 Helen Keller Blvd, 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 |
|---|---|---|---|
| 1740384817 | NPI | - | NPPES |
| 340131 | Medicaid | AL | |
| 513-18518 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00025444 (Alabama) | Primary |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Summit Physician Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104343581 PECOS PAC ID: 0042564957 Enrollment ID: O20181113001062 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karen Stacy Moore, MD 657 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 Ph: (205) 343-6979 | Dr Karen Stacy Moore, MD 657 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 Ph: (205) 343-6979 |
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 |