| Leslie Hogan, CRNP | |
|
8375 Highway 72 W, Madison, AL 35758-9573 | |
| (256) 265-5051 | |
| Not Available |
| Full Name | Leslie Hogan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 8375 Highway 72 W, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235557885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 193257 (Montana) | Secondary |
| 363L00000X | Nurse Practitioner | 1-113681 (Alabama) | Primary |
| Entity Name | Tennessee Valley Pain Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730548264 PECOS PAC ID: 1658657788 Enrollment ID: O20170404000934 |
| Entity Name | Hh Fever And Flu Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982230876 PECOS PAC ID: 9739510249 Enrollment ID: O20200518002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Hogan, CRNP 28555 Mitchell Loop, Ardmore, AL 35739-7645 Ph: (256) 777-4585 | Leslie Hogan, CRNP 8375 Highway 72 W, Madison, AL 35758-9573 Ph: (256) 265-5051 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 | |
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065 | |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 | |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 | |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 | |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 | |
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338 |