Mrs Kelly Mcclellan Hall, CRNP | |
705 Us Highway 80 W, Demopolis, AL 36732-4113 | |
(334) 289-0225 | |
(334) 287-3340 |
Full Name | Mrs Kelly Mcclellan Hall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 705 Us Highway 80 W, Demopolis, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881731917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-079822 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medcenter Demopolis Pc | 0244409134 | 9 |
Tuscaloosa Medcenter South Llc | 6305813221 | 24 |
Tuscaloosa Medcenter North, Llc | 9537167721 | 23 |
Entity Name | Tuscaloosa Medcenter South Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689689481 PECOS PAC ID: 6305813221 Enrollment ID: O20040910001167 |
Entity Name | Tuscaloosa Medcenter North, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972518777 PECOS PAC ID: 9537167721 Enrollment ID: O20061122000471 |
Entity Name | Medcenter Demopolis Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184913030 PECOS PAC ID: 0244409134 Enrollment ID: O20110810000460 |
Entity Name | Medcenter Primary Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922546357 PECOS PAC ID: 3274807615 Enrollment ID: O20170922001675 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Mcclellan Hall, CRNP 705 Us Highway 80 W, Demopolis, AL 36732-4113 Ph: (334) 289-0225 | Mrs Kelly Mcclellan Hall, CRNP 705 Us Highway 80 W, Demopolis, AL 36732-4113 Ph: (334) 289-0225 |
Laura E Glass, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-289-4000 | |
Susan Flexer Roy, CRNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-0225 Fax: 334-287-0245 | |
Ms. Helen Myers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 S Cedar Ave, Demopolis, AL 36732 Phone: 334-289-7303 | |
Mrs. Bianca A Norris, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-287-2837 Fax: 334-287-2480 | |
Mrs. Linda Bodle Mcadams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Highway 80 West, Demopolis, AL 36732 Phone: 334-289-0526 Fax: 334-289-5343 | |
Lori Wood Sudduth, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-1517 Fax: 334-289-8353 | |
Ms. Cassandra Latham, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-289-4000 |