| Edward Andrew Fazendin, MD | |
|
3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 | |
| (205) 595-8985 | |
| (205) 595-8987 |
| Full Name | Edward Andrew Fazendin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3686 Grandview Pkwy Ste 400, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487092391 | NPI | - | NPPES |
| 256202 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT204318 (Pennsylvania) | Secondary |
| 208600000X | Surgery | 38369 (Alabama) | Primary |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Andrew Fazendin, MD 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 Ph: (205) 595-8985 | Edward Andrew Fazendin, MD 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243-3404 Ph: (205) 595-8985 |
Melanie Morris, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Rebecca Horst, PA Surgery Medicare: Medicare Enrolled Practice Location: 817 Princeton Ave Sw Ste 306, Birmingham, AL 35211 Phone: 205-783-0160 Fax: 205-788-6249 | |
Timothy Lee Christopher, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243 Phone: 205-595-8985 Fax: 205-595-8987 | |
Dr. Richard Ira Kirkland, MD Surgery Medicare: Medicare Enrolled Practice Location: 513 Brookwood Blvd, Suite 501, Birmingham, AL 35209 Phone: 205-930-8010 Fax: 205-930-8014 | |
Kyle Stigall, MD Surgery Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-4011 | |
Jayme Locke, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Rindi Uhlich, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Residency Program Ofc, 1922 7th Avenue South, 217 Kracke Building, Uab, Birmingham, AL 35294 Phone: 205-934-9600 |