Mary Kaelynn Muncher, CRNP | |
3915 Veterans Memorial Dr Ste 106, Adamsville, AL 35005-2273 | |
(205) 674-1222 | |
(205) 674-1220 |
Full Name | Mary Kaelynn Muncher |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3915 Veterans Memorial Dr Ste 106, Adamsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386223238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-135419 (Alabama) | Primary |
163W00000X | Registered Nurse | 1-135419 (Alabama) | Secondary |
Entity Name | Birmingham Internal Medicine Associates, Llc |
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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 |
---|---|
Mary Kaelynn Muncher, CRNP 389 11th Ave Ne, Graysville, AL 35073-1012 Ph: (205) 514-4458 | Mary Kaelynn Muncher, CRNP 3915 Veterans Memorial Dr Ste 106, Adamsville, AL 35005-2273 Ph: (205) 674-1222 |
Adam Waters, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3915 Veterans Memorial Dr, Adamsville, AL 35005 Phone: 205-674-1222 | |
Ladarryl Banks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3915 Veterans Memorial Dr, Adamsville, AL 35005 Phone: 205-809-7715 |