Joanna Nicole Kallendorf, CRNP | |
193 Oates Dr, Newton, AL 36352-4312 | |
(334) 299-3592 | |
(334) 299-3870 |
Full Name | Joanna Nicole Kallendorf |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 193 Oates Dr, Newton, 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 |
---|---|---|---|
1295278653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-116722 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dale Medical Center | Ozark, AL | Hospital |
Flowers Hospital | Dothan, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Alabama Rural Health Associates | 8123009057 | 23 |
Entity Name | Southeast Alabama Rural Health Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891856134 PECOS PAC ID: 8123009057 Enrollment ID: O20040526001591 |
Entity Name | Southern Alabama Physicians, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
Mailing Address | Practice Location Address |
---|---|
Joanna Nicole Kallendorf, CRNP 1414 Elba Hwy, Troy, AL 36079-6020 Ph: (334) 670-6726 | Joanna Nicole Kallendorf, CRNP 193 Oates Dr, Newton, AL 36352-4312 Ph: (334) 299-3592 |
Chelsey Renee Ridenour, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 881 Windmill Rd, Newton, AL 36352 Phone: 989-763-3986 | |
Mrs. Judieth Darlene Sims, FNP-BC, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 858 County Road 426, Newton, AL 36352 Phone: 334-714-6415 Fax: 334-556-0049 |