| Kristen Michelle Mccormack, | |
|
616 Chaffee St, Talladega, AL 35160-2809 | |
| (256) 362-4197 | |
| Not Available |
| Full Name | Kristen Michelle Mccormack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 616 Chaffee St, Talladega, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982348355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-141418 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-141418 (Alabama) | Primary |
| Entity Name | Primary Care Select Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083375414 PECOS PAC ID: 1153716170 Enrollment ID: O20220309002312 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Michelle Mccormack, 100 Perry Hill Rd Ste 575, Montgomery, AL 36109-3630 Ph: (334) 546-5978 | Kristen Michelle Mccormack, 616 Chaffee St, Talladega, AL 35160-2809 Ph: (256) 362-4197 |
Mrs. Lera Dianna Marcelle Farmer, RN,MN,CNNP,CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 722 Stone Ave, Talladega, AL 35160 Phone: 256-362-1725 | |
Ms. Jessica Massey, C.R.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 724 Stone Ave, Talladega, AL 35160 Phone: 256-362-1410 Fax: 256-362-0186 | |
Kristinia Danielle Amos, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 837 Battle St E, Talladega, AL 35160 Phone: 256-649-8134 | |
Jennifer Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Stone Ave, Talladega, AL 35160 Phone: 256-761-4458 | |
Stephanie D Varner, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 North St E, Talladega, AL 35160 Phone: 256-362-3005 Fax: 256-531-9443 | |
Robin L Merkel, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 Haynes St, Talladega, AL 35160 Phone: 256-362-2593 Fax: 265-362-0529 | |
George R Barnes Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 616 Chaffee St, Talladega, AL 35160 Phone: 334-538-0505 Fax: 334-272-6191 |