| Katie E Basch, CRNP | |
|
1938 Al Highway 157 Ste 101, Cullman, AL 35058-1819 | |
| (256) 735-5505 | |
| (256) 964-9954 |
| Full Name | Katie E Basch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1938 Al Highway 157 Ste 101, Cullman, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326583493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 202011502NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-142277 (Alabama) | Primary |
| Entity Name | Crmc Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467083675 PECOS PAC ID: 8729419874 Enrollment ID: O20200506000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie E Basch, CRNP 1938 Al Highway 157 Ste 101, Cullman, AL 35058-1819 Ph: (256) 735-5505 | Katie E Basch, CRNP 1938 Al Highway 157 Ste 101, Cullman, AL 35058-1819 Ph: (256) 735-5505 |
Katie Yeager Plourd, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 4th Ave Se, Suite 300, Cullman, AL 35055 Phone: 205-271-8312 Fax: 205-329-7455 | |
Christopher Michael Kelsey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1912 Al Highway 157, Cullman, AL 35058 Phone: 256-737-2095 Fax: 256-737-2097 | |
Jennifer Lynn Anderson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Al Highway 157 Ste 101, Cullman, AL 35058 Phone: 256-739-4131 Fax: 256-739-6027 | |
Stacey S Varden, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1890 Al Highway 157 Ste 300, Cullman, AL 35058 Phone: 256-737-8000 Fax: 256-737-8058 | |
Erika Lancaster, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 Clark St Ne, Cullman, AL 35055 Phone: 256-739-0801 | |
Mrs. Melanie Beth Walker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Al Highway 157 Ste 100, Cullman, AL 35058 Phone: 256-736-5505 Fax: 256-736-5551 | |
Carol A Livingston, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 2nd Ave Se, Cullman, AL 35055 Phone: 256-739-4144 Fax: 256-739-0445 |