| Monika Tataria, MD | |
|
3732 Wimbleton Dr, Mountain Brk, AL 35223-2730 | |
| (650) 996-1755 | |
| Not Available |
| Full Name | Monika Tataria |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 3732 Wimbleton Dr, Mountain Brk, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750597670 | NPI | - | NPPES |
| 051118249 | Other | AL | BCBS |
| 051118251 | Other | AL | BCBS |
| 129399 | Medicaid | AL | |
| 01056218 | Medicaid | MS | |
| 051118250 | Other | AL | BCBS |
| 129391 | Medicaid | AL | |
| 129395 | Medicaid | AL | |
| 129402 | Medicaid | AL | |
| 051118255 | Other | AL | BCBS |
| 102I308578 | Other | AL | MEDICARE |
| 129398 | Medicaid | AL | |
| 129404 | Medicaid | AL | |
| Z17051 | Other | AL | VIVA |
| 051118248 | Other | AL | BCBS |
| 129392 | Medicaid | AL | |
| 129403 | Medicaid | AL | |
| 051118252 | Other | AL | BCBS |
| 051118254 | Other | AL | BCBS |
| 051118256 | Other | AL | BCBS |
| 129405 | Medicaid | AL | |
| 51124835 | Other | AL | BLUE CROSS PMD |
| 051118242 | Other | AL | BCBS |
| 129400 | Medicaid | AL | |
| 51124834 | Other | AL | BLUE CROSS PMD |
| 051118253 | Other | AL | BCBS |
| 51124836 | Other | AL | BLUE CROSS PMD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 30928 (Alabama) | Primary |
| 208D00000X | General Practice | MD30928 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Alabama Hospital | Birmingham, AL | Hospital |
| St Vincent's Birmingham | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med Help Pc | 0648223602 | 16 |
| Camellia Imaging Llc | 3779865035 | 2 |
| 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 | Med Help Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083772560 PECOS PAC ID: 0648223602 Enrollment ID: O20050302000234 |
| Entity Name | Camellia Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316495997 PECOS PAC ID: 3779865035 Enrollment ID: O20171212001159 |
| Mailing Address | Practice Location Address |
|---|---|
| Monika Tataria, MD 3732 Wimbleton Dr, Mountain Brk, AL 35223-2730 Ph: (650) 996-1755 | Monika Tataria, MD 3732 Wimbleton Dr, Mountain Brk, AL 35223-2730 Ph: (650) 996-1755 |
Phillip A Triantos, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2932 Pump House Rd, Mountain Brk, AL 35243 Phone: 205-999-6786 Fax: 205-876-8063 | |
Gina A Mcrae, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 21 Ridge Dr, Mountain Brk, AL 35213 Phone: 952-595-1100 Fax: 612-294-4903 |