Barbara Wilder, CRNP | |
301 Mariarden Rd, Dadeville, AL 36853-6254 | |
(256) 825-7871 | |
(256) 825-5742 |
Full Name | Barbara Wilder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 301 Mariarden Rd, Dadeville, 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 |
---|---|---|---|
1598797656 | NPI | - | NPPES |
540003420 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-022293 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Martin Community Hospital | Dadeville, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivy Creek Of Tallapoosa Llc | 8123938719 | 10 |
Entity Name | Ivy Creek Of Tallapoosa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
Entity Name | Ivy Creek Family Care Of Lake Martin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609572890 PECOS PAC ID: 6103281977 Enrollment ID: O20230501000230 |
Mailing Address | Practice Location Address |
---|---|
Barbara Wilder, CRNP 301 Mariarden Rd, Dadeville, AL 36853-6254 Ph: (256) 825-7871 | Barbara Wilder, CRNP 301 Mariarden Rd, Dadeville, AL 36853-6254 Ph: (256) 825-7871 |
Michael Lance Bevels, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821 | |
Kimberly A Robertson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-3280 Fax: 256-827-0808 | |
Mrs. Sabrina Colley Davis, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-3272 Fax: 256-825-8578 | |
Cathy Pitts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-7871 | |
Lori Michelle Mosley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821 Fax: 256-825-3290 | |
Lisa King, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8220 County Road 34, Dadeville, AL 36853 Phone: 256-307-1848 |