Konica Shannon Mcmullen, DNP | |
1769 Moss Rose Dr, Bessemer, AL 35022-8340 | |
(205) 310-2600 | |
(205) 236-1724 |
Full Name | Konica Shannon Mcmullen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1769 Moss Rose Dr, Bessemer, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184352296 | NPI | - | NPPES |
512-90226 | Other | AL | BCBS-AL |
299342 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-093551 (Alabama) | Primary |
Entity Name | Birmingham Internal Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598796542 PECOS PAC ID: 1658341193 Enrollment ID: O20040730000432 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
Mailing Address | Practice Location Address |
---|---|
Konica Shannon Mcmullen, DNP 1769 Moss Rose Dr, Bessemer, AL 35022-8340 Ph: (205) 310-2600 | Konica Shannon Mcmullen, DNP 1769 Moss Rose Dr, Bessemer, AL 35022-8340 Ph: (205) 310-2600 |
Jeremy L. Clark, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 9th Ave Sw Ste 307, Bessemer, AL 35022 Phone: 205-481-7384 | |
Irene Mutembei, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 Selma Rd, Bessemer, AL 35020 Phone: 205-641-4895 | |
Kelsey Ankenbrandt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 9th Ave Sw Ste 310, Bessemer, AL 35022 Phone: 205-277-2358 | |
Kathleen G Drew, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 Medical Center Dr, Bessemer, AL 35022 Phone: 205-481-7202 Fax: 205-481-8504 | |
Micheal Jason Grier, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4810 Bell Hill Rd, Bessemer, AL 35022 Phone: 205-477-3737 Fax: 205-477-0373 | |
Jason Keith Willoughby, MSN, CRNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 927 Medical Center Dr, Bessemer, AL 35022 Phone: 205-481-8670 | |
Henrietta June Rogers-cathey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4810 Bell Hill Rd, Bessemer, AL 35022 Phone: 205-477-3737 Fax: 205-477-0373 |