| Scott R Fulgham, MD | |
|
1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 | |
| (205) 759-2582 | |
| (205) 759-2985 |
| Full Name | Scott R Fulgham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 1100 Ruby Tyler Pkwy, 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 |
|---|---|---|---|
| 1881785749 | NPI | - | NPPES |
| 051553452 | Medicaid | AL | |
| P00008568 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24425 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oasis Healthcare - Moody | Moody, AL | Hospice |
| Hospice Of West Alabama | Tuscaloosa, AL | Hospice |
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Glen Haven Health And Rehabilitation, Llc | Northport, AL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuskaloosa Internal Medicine Llc | 2264451137 | 9 |
| Entity Name | The Dch Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841394418 PECOS PAC ID: 8123924248 Enrollment ID: O20040204000874 |
| Entity Name | Tuskaloosa Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235221847 PECOS PAC ID: 2264451137 Enrollment ID: O20051121000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R Fulgham, MD 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 Ph: (205) 759-2582 | Scott R Fulgham, MD 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 Ph: (205) 759-2582 |
Robert Pieroni, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-5353 | |
Dr. Mark Bruce Nissenbaum, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Va Medical Center (679/11), Tuscaloosa, AL 35404 Phone: 205-554-2000 Fax: 205-554-2034 | |
Dr. Kyathanahally M. Dinesh Chandra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E, Suite 711, Tuscaloosa, AL 35401 Phone: 205-345-2255 | |
John Warren, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404 Phone: 205-759-2582 Fax: 205-759-2985 | |
Bassam Mushannen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 Fairfax Park, Ste B, Tuscaloosa, AL 35406 Phone: 205-758-6471 Fax: 205-758-6472 | |
Michael Shortall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000 Fax: 205-554-2824 | |
Dr. John William Dubay, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 University Blvd E, Dch Cancer Treatment Center, Tuscaloosa, AL 35401 Phone: 205-759-7803 Fax: 205-343-8029 |