Bonnie Diane Pickett, NP | |
12701 Padgett Switch Rd, Irvington, AL 36544-4011 | |
(251) 824-2174 | |
(251) 824-2286 |
Full Name | Bonnie Diane Pickett |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12701 Padgett Switch Rd, Irvington, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205608882 | NPI | - | NPPES |
513-27535 | Other | AL | BCBS |
345214 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-158008 (Alabama) | Primary |
Entity Name | Coastal Family Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
Mailing Address | Practice Location Address |
---|---|
Bonnie Diane Pickett, NP 1209 Bienville Blvd, Dauphin Island, AL 36528-4359 Ph: (251) 214-6119 | Bonnie Diane Pickett, NP 12701 Padgett Switch Rd, Irvington, AL 36544-4011 Ph: (251) 824-2174 |
Ms. Carla Ann Baxley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 | |
Mrs. Tricia Wilson Lee, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8095 Stratford Dr, Irvington, AL 36544 Phone: 251-610-1995 | |
Michael A Pickert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
Melissa Sprinkle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-9654 | |
Ashley Mcbride, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 | |
Mrs. Monica Clark Taylor, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-4343 |