MEDICARE: WILLIAM E FIALKOWSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD.8144	AL
2	207R00000X	Internal Medicine Physician	MD.8144	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00026568	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1619962347	OTHER	AL	TRICARE SOUTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	051515576	OTHER	AL	BCBS PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	515-14708	OTHER	AL	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	4234890	OTHER	AL	AETNA

General Provider Information

NPI Number	:	1619962347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM E FIALKOWSKI MD

Provider Business Mailing Address
First Line	:	PO BOX 11407 DRAWER 624
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-0624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 SIXTH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-0001
Country	:	US
Telephone Number	:	205-975-7389
Fax Number	:	205-975-4662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	09/30/2011

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Directions to “ WILLIAM E FIALKOWSKI MD” Practice Location

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