Mrs Chanetta Lashan Woodham, CRNP in Dothan, AL

Mrs Chanetta Lashan Woodham, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. Her current practice location is 207 Haven Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 793-3319.

Mrs Chanetta Lashan Woodham is licensed to practice in Alabama (license number 1-098137) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619264520.

Contact Information

	Mrs Chanetta Lashan Woodham, CRNP
	207 Haven Dr, Dothan, AL 36301-2919
	(334) 793-3319
	(334) 793-2291

Map and Direction

Provider's Profile

Full Name	Mrs Chanetta Lashan Woodham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	207 Haven Dr, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619264520
Provider Enumeration Date: 06/30/2011
Last Update Date: 12/04/2017

Medicare PECOS Information:

PECOS PAC ID: 0042482861
Enrollment ID: I20111020000114

Medical Identifiers

Medical identifiers for Mrs Chanetta Lashan Woodham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619264520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-098137 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Chanetta Lashan Woodham allows following entities to bill medicare on her behalf.

Entity Name	Dothan Hypertension Nephrology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013018407 PECOS PAC ID: 5991746661 Enrollment ID: O20050822000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chanetta Lashan Woodham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Chanetta Lashan Woodham, CRNP 1121 S Brannon Stand Rd, Dothan, AL 36305-7367 Ph: (334) 714-3302	Mrs Chanetta Lashan Woodham, CRNP 207 Haven Dr, Dothan, AL 36301-2919 Ph: (334) 793-3319

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Mrs Chanetta Lashan Woodham, CRNP - Medicare Nurse Practitioner in Dothan, AL