| Mallory A Booth, PA-C | |
|
1050 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2958 | |
| (478) 743-7068 | |
| (478) 741-1354 |
| Full Name | Mallory A Booth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1050 Ruby Tyler Pkwy, Tuscaloosa, 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 |
|---|---|---|---|
| 1073960118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10676 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Fayette Medical Center | Fayette, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pain And Rehabilitation Physicians, Pc | 2264467505 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory A Booth, PA-C 1050 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2958 Ph: (205) 759-7111 | Mallory A Booth, PA-C 1050 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2958 Ph: (478) 743-7068 |
Erica Mcdaniel Abney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 Paul W Bryant Dr E, Tuscaloosa, AL 35401 Phone: 205-345-0192 Fax: 205-759-8794 | |
Carson Watson Shadix, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405 Phone: 205-343-2225 Fax: 205-343-7825 | |
Ms. Lesia G Means, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2731 Mlk Jr Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 | |
Samuel Milfred Reeves, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 15th St E, Tuscaloosa, AL 35401 Phone: 205-526-2053 | |
Ann Roby Mcdonald, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E, Suite 808, Tuscaloosa, AL 35401 Phone: 205-759-5640 Fax: 205-759-5639 | |
Mr. Hugh Randall Latham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Paul Bryant Dr E, Tuscaloosa, AL 35401 Phone: 205-345-0192 Fax: 205-247-2194 |