Amanda Wiggins Grigg, CRNP | |
28490 2nd St Ste B, Daphne, AL 36526-7150 | |
(251) 308-9800 | |
(877) 413-5104 |
Full Name | Amanda Wiggins Grigg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 28490 2nd St Ste B, Daphne, 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 |
---|---|---|---|
1235785999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-109551 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-109551 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imc-cardio-thoracic And Vascular Surgical Associates Llc | 4981936796 | 25 |
Entity Name | Dynamic Pain & Wellness Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285007989 PECOS PAC ID: 8527364058 Enrollment ID: O20181012001431 |
Entity Name | Imc-cardio-thoracic And Vascular Surgical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841848553 PECOS PAC ID: 4981936796 Enrollment ID: O20191029000614 |
Mailing Address | Practice Location Address |
---|---|
Amanda Wiggins Grigg, CRNP 4935 Dogwood Trl, Eight Mile, AL 36613-8514 Ph: () - | Amanda Wiggins Grigg, CRNP 28490 2nd St Ste B, Daphne, AL 36526-7150 Ph: (251) 308-9800 |
Brittany Charlene Wickware, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28490 2nd St Ste B, Daphne, AL 36526 Phone: 251-308-9800 Fax: 877-413-5104 | |
Jada Turner Mims, AGACNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25825 Keldon Ct, Daphne, AL 36526 Phone: 251-463-1184 | |
Elizabeth Hill Luscher, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
Prof. Julie Borom Wiggins, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26420 Kensington Pl Ste A, Daphne, AL 36526 Phone: 251-402-5591 | |
Mr. Daniel Phillip Gardner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8725 County Road 64, Daphne, AL 36526 Phone: 251-625-1370 Fax: 251-625-1380 | |
Kristen Boeckmann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28119 N Main St Ste B, Daphne, AL 36526 Phone: 251-214-0040 |