Cacyce Fowler, | |
108 4th Ave Sw Ste A, Reform, AL 35481 | |
(205) 375-6251 | |
Not Available |
Full Name | Cacyce Fowler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 108 4th Ave Sw Ste A, Reform, 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 |
---|---|---|---|
1457774200 | NPI | - | NPPES |
A04122A | Other | AL | MEDICARE |
512-17004 | Other | AL | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-093244 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pickens County Primary Care, Pc | 1658597307 | 12 |
Entity Name | Slcm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336474964 PECOS PAC ID: 9830230119 Enrollment ID: O20100108000359 |
Entity Name | Pickens County Primary Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629491451 PECOS PAC ID: 1658597307 Enrollment ID: O20140801000707 |
Entity Name | Jlbmd Consulting Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003449869 PECOS PAC ID: 6901235969 Enrollment ID: O20200326003641 |
Entity Name | Pickens County Primary Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982205753 PECOS PAC ID: 1658597307 Enrollment ID: O20200509000003 |
Mailing Address | Practice Location Address |
---|---|
Cacyce Fowler, 108 4th Ave Sw Ste A, Reform, AL 35481-8018 Ph: (205) 375-6251 | Cacyce Fowler, 108 4th Ave Sw Ste A, Reform, AL 35481 Ph: (205) 375-6251 |
Kendall Lewis Estes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 4th Ave Sw, Reform, AL 35481 Phone: 205-375-6251 | |
Theresa Darlene Putman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481 Phone: 205-375-6251 | |
Erin Simpson Shirley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481 Phone: 205-375-6251 | |
Marcus Stephenson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 4th Ave Ne, Reform, AL 35481 Phone: 205-375-6251 |