| Dr Richard Wilson Shamblin, MD | |
|
100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 | |
| (205) 349-4200 | |
| (205) 349-4285 |
| Full Name | Dr Richard Wilson Shamblin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 100 Rice Mine Rd N, 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 |
|---|---|---|---|
| 1356450183 | NPI | - | NPPES |
| 528502230 | Medicaid | AL | |
| 51014598 | Other | AL | BLUE CROSS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11910 (Alabama) | Primary |
| Entity Name | Internal Medicine Associates Of Tuscaloosa, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225146004 PECOS PAC ID: 6800813957 Enrollment ID: O20051027000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Wilson Shamblin, MD 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 Ph: (205) 349-4200 | Dr Richard Wilson Shamblin, MD 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2300 Ph: (205) 349-4200 |
Robert Pieroni, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-5353 | |
Dr. Mark Bruce Nissenbaum, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Va Medical Center (679/11), Tuscaloosa, AL 35404 Phone: 205-554-2000 Fax: 205-554-2034 | |
Dr. Kyathanahally M. Dinesh Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 711, Tuscaloosa, AL 35401 Phone: 205-345-2255 | |
John Warren, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404 Phone: 205-759-2582 Fax: 205-759-2985 | |
Bassam Mushannen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Fairfax Park, Ste B, Tuscaloosa, AL 35406 Phone: 205-758-6471 Fax: 205-758-6472 | |
Michael Shortall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000 Fax: 205-554-2824 | |
Dr. John William Dubay, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Dch Cancer Treatment Center, Tuscaloosa, AL 35401 Phone: 205-759-7803 Fax: 205-343-8029 |