Edward Allen Sullivan Iii, MD | |
619 19th St S, Birmingham, AL 35249 | |
(205) 934-4011 | |
Not Available |
Full Name | Edward Allen Sullivan Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 619 19th St S, Birmingham, 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 |
---|---|---|---|
1275596926 | NPI | - | NPPES |
51550443 | Other | AL | BLUE CROSS/BLUE SHIELD |
51518308 | Other | AL | BLUE CROSS/BLUE SHIELD |
051550443 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 21618 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Vincent's Birmingham | Birmingham, AL | Hospital |
Brookwood Baptist Medical Center | Birmingham, AL | Hospital |
Riverview Regional Medical Center | Gadsden, AL | Hospital |
Russell Medical Center | Alexander city, AL | Hospital |
Usa Health University Hospital | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of Birmingham, P.c. | 7214928571 | 37 |
Urology Centers Of Alabama Pc | 0941264345 | 57 |
Radiology Associates Of Birmingham, P.c. | 7214928571 | 37 |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Entity Name | Norwood Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104879741 PECOS PAC ID: 8921996364 Enrollment ID: O20040308001107 |
Entity Name | Radiology Associates Of Birmingham, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093778706 PECOS PAC ID: 7214928571 Enrollment ID: O20040524001193 |
Entity Name | St Vincent's Pet Center Llc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1457337073 PECOS PAC ID: 4981673001 Enrollment ID: O20040927000414 |
Entity Name | Urology Centers Of Alabama Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710962550 PECOS PAC ID: 0941264345 Enrollment ID: O20041116000389 |
Entity Name | St Vincents Ambulatory Healthcare Network Llc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1588190441 PECOS PAC ID: 1355608456 Enrollment ID: O20171128001387 |
Entity Name | St Vincents Ambulatory Healthcare Network Llc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1033646823 PECOS PAC ID: 1355608456 Enrollment ID: O20180626000597 |
Entity Name | Cooper Green Mercy Health Services Authority An Affiliate Of Uab |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366073108 PECOS PAC ID: 0840629473 Enrollment ID: O20200402003238 |
Mailing Address | Practice Location Address |
---|---|
Edward Allen Sullivan Iii, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Edward Allen Sullivan Iii, MD 619 19th St S, Birmingham, AL 35249 Ph: (205) 934-4011 |
Dr. Garrett Colby, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Jt N342, Birmingham, AL 35249 Phone: 205-934-3108 Fax: 205-975-4413 | |
Drexell H Boggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Rm: 2253, Birmingham, AL 35233 Phone: 205-975-9399 Fax: 205-975-5184 | |
James Walker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Joseph Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Michelle M Mcnamara, MD Radiology Medicare: Medicare Enrolled Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-4011 | |
Sharda Mehar Bajaj, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1526 5th Ave S, Birmingham, AL 35233 Phone: 205-279-2860 | |
Gina Elizabeth Rebesco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 19th St S, Birmingham, AL 35233 Phone: 205-975-0222 |