Michael Lance Bevels, CRNP | |
301 Mariarden Rd, Dadeville, AL 36853-6254 | |
(256) 825-7821 | |
Not Available |
Full Name | Michael Lance Bevels |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 301 Mariarden Rd, Dadeville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093595746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-129125 (Alabama) | Primary |
Entity Name | Ivy Creek Of Tallapoosa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Mailing Address | Practice Location Address |
---|---|
Michael Lance Bevels, CRNP 6510 Highway 63 S, Alexander City, AL 35010-6160 Ph: (256) 307-5304 | Michael Lance Bevels, CRNP 301 Mariarden Rd, Dadeville, AL 36853-6254 Ph: (256) 825-7821 |
Kimberly A Robertson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-3280 Fax: 256-827-0808 | |
Mrs. Sabrina Colley Davis, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-3272 Fax: 256-825-8578 | |
Cathy Pitts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-7871 | |
Lori Michelle Mosley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821 Fax: 256-825-3290 | |
Lisa King, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8220 County Road 34, Dadeville, AL 36853 Phone: 256-307-1848 | |
Barbara Wilder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742 |