| Mark R Connell, MD | |
|
1613 N Mckenzie St, Foley, AL 36535-2247 | |
| (251) 476-5443 | |
| (251) 476-0116 |
| Full Name | Mark R Connell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1613 N Mckenzie St, Foley, 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 |
|---|---|---|---|
| 1730146069 | NPI | - | NPPES |
| 009936421 | Medicaid | AL | |
| 51003532 | Other | AL | BC MONTCLAIR |
| 009936423 | Medicaid | AL | |
| 51003530 | Other | AL | BC GREYSTONE |
| 51003540 | Other | AL | BC SYLACAUGA |
| 51003538 | Other | AL | BC SHELBY |
| 009936422 | Medicaid | AL | |
| 009936426 | Medicaid | AL | |
| 009936424 | Medicaid | AL | |
| 51003539 | Other | AL | BC 280 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 24737 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Baldwin Regional Medical Center | Foley, AL | Hospital |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Springhill Medical Center | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Baldwin Diagnostic Imaging Associates, P.c. | 1254380769 | 4 |
| Entity Name | South Baldwin Diagnostic Imaging Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124000856 PECOS PAC ID: 1254380769 Enrollment ID: O20050121000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Connell, MD Po Box 7866, Mobile, AL 36670-0866 Ph: (251) 476-5443 | Mark R Connell, MD 1613 N Mckenzie St, Foley, AL 36535-2247 Ph: (251) 476-5443 |
Dr. John J Campbell, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-1513 Fax: 251-621-4837 | |
Dr. Ralph H Ewing Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-3513 Fax: 251-476-5460 | |
Dr. Jason Russell Williams, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 W Myrtle Ave, Suite 1, Foley, AL 36535 Phone: 251-943-9409 Fax: 251-943-9724 | |
Dr. William P Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-1513 Fax: 251-476-5460 |