Amy Roselius, | |
3124 Ross Clark Cir, Dothan, AL 36303-3038 | |
(334) 678-9123 | |
(334) 678-9124 |
Full Name | Amy Roselius |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 3124 Ross Clark Cir, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184090359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 1-090081 (Alabama) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 1-090081 (Alabama) | Secondary |
Entity Name | Extended Care Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902182371 PECOS PAC ID: 8921275710 Enrollment ID: O20120119000166 |
Mailing Address | Practice Location Address |
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Amy Roselius, 3124 Ross Clark Cir, Dothan, AL 36303-3038 Ph: (334) 678-9123 | Amy Roselius, 3124 Ross Clark Cir, Dothan, AL 36303-3038 Ph: (334) 678-9123 |
Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 | |
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 | |
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500 | |
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063 | |
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614 | |
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642 |