Mrs Mary Kathryn Reep Zicarelli, | |
34011 Us Highway 280, Childersburg, AL 35044-2128 | |
(256) 378-3313 | |
(256) 378-3315 |
Full Name | Mrs Mary Kathryn Reep Zicarelli |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 34011 Us Highway 280, Childersburg, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356674741 | NPI | - | NPPES |
1021507842 | Other | AL | MEDICARE PTAN |
125065 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1-036663 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-036663 (Alabama) | Primary |
Entity Name | Metro Infectious Disease Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20131119001543 |
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 |
---|---|
Mrs Mary Kathryn Reep Zicarelli, Po Box 349, 34011 Hwy 280 East, Childersburg, AL 35044-0349 Ph: (256) 378-3313 | Mrs Mary Kathryn Reep Zicarelli, 34011 Us Highway 280, Childersburg, AL 35044-2128 Ph: (256) 378-3313 |
Mrs. Laura Snook, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33733 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3301 | |
Nancy Coleana Hill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33733 Us Highway 280, Childersburg, AL 35044 Phone: 256-378-3301 |