Brian Heath Daniel, | |
301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 | |
(256) 825-7871 | |
(256) 825-5742 |
Full Name | Brian Heath Daniel |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 301 Mariarden Rd, Dadeville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912359100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-125160 (Alabama) | Primary |
Entity Name | Ivy Creek Of Tallapoosa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
Entity Name | Ivy Creek Of Elmore Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 |
Entity Name | Wetumpka Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194057554 PECOS PAC ID: 6800053133 Enrollment ID: O20120130000098 |
Entity Name | Chilton Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366857674 PECOS PAC ID: 7517189855 Enrollment ID: O20141120002311 |
Entity Name | Ivy Creek Family Care Of Lake Martin |
---|---|
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 |
---|---|
Brian Heath Daniel, 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 Ph: (256) 825-7871 | Brian Heath Daniel, 301 Mariarden Rd, Suite D, 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 | |
Barbara Wilder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742 |