Alexcia Dawn Pennell, CNM, FNP-C | |
550 Redstone Ave W, Crestview, FL 32536-6428 | |
(850) 689-2229 | |
Not Available |
Full Name | Alexcia Dawn Pennell |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 3 Years |
Location | 550 Redstone Ave W, Crestview, Florida |
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 |
---|---|---|---|
1407249691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11021829 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | APRN11021829 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Okaloosa Medical Center | Crestview, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Okaloosa Clinic Corp | 0244205565 | 13 |
Entity Name | North Okaloosa Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
Mailing Address | Practice Location Address |
---|---|
Alexcia Dawn Pennell, CNM, FNP-C 550 Redstone Ave W Ste 470, Crestview, FL 32536-6457 Ph: (850) 689-2229 | Alexcia Dawn Pennell, CNM, FNP-C 550 Redstone Ave W, Crestview, FL 32536-6428 Ph: (850) 689-2229 |
Mrs. Jessica Ann Gibson, MSN, CNM, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd, Suite A4, Crestview, FL 32536 Phone: 850-398-8940 | |
Marilyn Ruth Smith, NP-C APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6273 Equine Dr, Crestview, FL 32536 Phone: 561-271-0621 Fax: 850-331-3233 |