| Raymond E Poore Jr, MD | |
|
1780 Mcfarland Blvd N, Tuscaloosa, AL 35406-2136 | |
| (205) 345-7351 | |
| (205) 345-8476 |
| Full Name | Raymond E Poore Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 1780 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 |
|---|---|---|---|
| 1851357933 | NPI | - | NPPES |
| 510-68253 | Other | AL | BCBS OF AL |
| 114258 | Medicaid | AL | |
| 114261 | Medicaid | AL | |
| 511-00713 | Other | AL | BCBS OF AL |
| 114264 | Medicaid | AL | |
| 510-68237 | Other | AL | BCBS OF AL |
| 510-68270 | Other | AL | BCBS OF AL |
| 114255 | Medicaid | AL | |
| 20891 | Other | AL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 20891 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Vaughan Regional Medical Center Parkway Campus | Selma, AL | Hospital |
| Fayette Medical Center | Fayette, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Physician Network, P.c. | 0840337721 | 35 |
| Tift Regional Health System Inc | 2062745169 | 262 |
| Dean Health Systems Inc | 7012827983 | 1099 |
| 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 |
|---|---|
| Raymond E Poore Jr, MD 1400 Afflink Pl, Suite 100, Tuscaloosa, AL 35406-2289 Ph: (205) 366-9740 | Raymond E Poore Jr, MD 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406-2136 Ph: (205) 345-7351 |
Mr. Thomas A Cato, DO Urology Medicare: May Accept Medicare Assignments Practice Location: 701 University Blvd East Ste 702, Tuscaloosa, AL 35401 Phone: 205-759-7878 Fax: 205-759-7744 | |
Kenneth W Aldridge, MD Urology Medicare: Medicare Enrolled Practice Location: 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401 Phone: 205-344-9393 Fax: 205-758-6750 | |
John W Duffy Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 | |
Dr. Howard N Winfield, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 908, Tuscaloosa, AL 35401 Phone: 205-344-9393 Fax: 205-759-7744 | |
Ingrum W Bankston Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 | |
Dr. Winston Murphree Crute, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Mcfarland Blvd N, Tuscaloosa, AL 35406 Phone: 205-345-7351 Fax: 205-345-8476 |