Jonathan Mark Windham, CRNP | |
70 Plaza Dr, Pell City, AL 35125-9314 | |
(205) 814-9284 | |
(205) 814-9626 |
Full Name | Jonathan Mark Windham |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 70 Plaza Dr, Pell City, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700272127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-092749 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Entity Name | Inri Medical Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831103837 PECOS PAC ID: 0749270197 Enrollment ID: O20040517000780 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Mark Windham, CRNP 70 Plaza Dr, Pell City, AL 35125-9314 Ph: (205) 814-9284 | Jonathan Mark Windham, CRNP 70 Plaza Dr, Pell City, AL 35125-9314 Ph: (205) 814-9284 |
Ms. Laura Paige Farris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1526 | |
Justin Fuller, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-814-9626 | |
Wendy O'neal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Eminence Way Ste A, Pell City, AL 35128 Phone: 205-884-9000 | |
Erin Chrisla Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-814-9626 | |
Angela K Belyeu, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7067 Veterans Pkwy, Suite 130, Pell City, AL 35125 Phone: 205-884-9000 Fax: 205-884-8111 | |
Kelsie W Roulaine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-814-9626 | |
Lisa Ellison, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Plaza Dr, Pell City, AL 35125 Phone: 205-814-9284 Fax: 205-338-0865 |