| Dr Stephen Anthony Kahalley, MD | |
|
610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 | |
| (251) 378-3900 | |
| (251) 378-3901 |
| Full Name | Dr Stephen Anthony Kahalley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 610 Providence Park Dr E, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255345369 | NPI | - | NPPES |
| 51093042 | Other | AL | BCBS OF AL |
| 000093042 | Other | AL | AL MEDICAID |
| 0410743 | Other | AL | UNITED HEALTHCARE |
| 11217512 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00009877 (Alabama) | Primary |
| Entity Name | Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
| Entity Name | Alabama Providence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245669514 PECOS PAC ID: 9638308430 Enrollment ID: O20140127000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Anthony Kahalley, MD Po Box 850489, Mobile, AL 36685-0489 Ph: (251) 342-3949 | Dr Stephen Anthony Kahalley, MD 610 Providence Park Dr E, Bldg 1 Suite 102, Mobile, AL 36695-4622 Ph: (251) 378-3900 |
Frederick Joseph Rossi Iii, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7891 Fax: 251-470-1652 | |
Hima Reddy Devarapalli, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-266-3580 Fax: 251-266-3581 | |
Damian Joseph Collins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604 Phone: 251-435-1200 Fax: 251-435-6357 | |
Lenore Landers Pierce, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581 | |
George F Wilson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Saint Emanuel St, Mobile, AL 36603 Phone: 251-455-4141 | |
Luanda Grazette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr # 102, Mobile, AL 36617 Phone: 251-470-5890 Fax: 318-868-6430 | |
Peter Chestnutt Coats, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6701 Airport Blvd, Suite A-101, Mobile, AL 36608 Phone: 251-633-8880 Fax: 251-634-4502 |