| Jefferson Mason Trupp, MD | |
|
1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2459 | |
| (205) 345-8208 | |
| Not Available |
| Full Name | Jefferson Mason Trupp |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 46 Years |
| Location | 1410 Mcfarland Blvd N, Tuscaloosa, 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 |
|---|---|---|---|
| 1871552638 | NPI | - | NPPES |
| 266076800 | Medicaid | FL | |
| 000014577 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD.11479 (Alabama) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | ME40682 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fayette Medical Center | Fayette, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Physician Network, P.c. | 0840337721 | 35 |
| Entity Name | Southeast Physician Network, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598090839 PECOS PAC ID: 0840337721 Enrollment ID: O20091026000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Mason Trupp, MD 8203 N Lagoon Dr, Panama City, FL 32408-5267 Ph: (850) 896-0773 | Jefferson Mason Trupp, MD 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2459 Ph: (205) 345-8208 |
Russell A Scholl, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 208 Mcfarland Cir N, Tuscaloosa, AL 35406 Phone: 205-345-7000 Fax: 205-343-0910 | |
David R Shulman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 208 Mcfarland Cir N, Tuscaloosa, AL 35406 Phone: 205-345-7000 Fax: 205-343-6700 | |
Margaret C Guarisco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 208 Mcfarland Cir N, Tuscaloosa, AL 35406 Phone: 205-345-7000 Fax: 205-343-0910 | |
William R Ford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1406 Mcfarland Blvd N, Suite 1a, Tuscaloosa, AL 35406 Phone: 800-829-9674 | |
Dr. John Benjamin Crew, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7800 Fax: 205-343-8538 | |
Bernard J Veillon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 208 Mcfarland Cir N, Tuscaloosa, AL 35406 Phone: 205-345-7000 Fax: 205-343-0910 | |
Susan M Griffith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 208 Mcfarland Cir N, Tuscaloosa, AL 35406 Phone: 205-345-7000 Fax: 205-343-0910 |