Keaton Peak, | |
1108 Ross Clark Cir, Dothan, AL 36301 | |
(334) 793-8111 | |
Not Available |
Full Name | Keaton Peak |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1108 Ross Clark Cir, Dothan, 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 |
---|---|---|---|
1467017335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1-147512 (Alabama) | Secondary |
363L00000X | Nurse Practitioner | 1-147512 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flowers Hospital | Dothan, AL | Hospital |
Jackson Hospital | Marianna, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Flowers Hb Medical Services Llc | 6305290990 | 58 |
Entity Name | App Of Alabama Hm, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245713684 PECOS PAC ID: 8921342858 Enrollment ID: O20181204002903 |
Entity Name | Flowers Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972283828 PECOS PAC ID: 6305290990 Enrollment ID: O20231002000205 |
Mailing Address | Practice Location Address |
---|---|
Keaton Peak, 1419 Peak Rd, Westville, FL 32464-3072 Ph: () - | Keaton Peak, 1108 Ross Clark Cir, Dothan, AL 36301 Ph: (334) 793-8111 |
Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 | |
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 | |
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500 | |
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063 | |
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614 | |
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642 |