Ms Kaci Absalom, NP | |
5009 Riverchase Dr Ste 500, Phenix City, AL 36867-7490 | |
(334) 448-9505 | |
(334) 448-9575 |
Full Name | Ms Kaci Absalom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5009 Riverchase Dr Ste 500, Phenix City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639414188 | NPI | - | NPPES |
003138582 | Medicaid | GA | |
167806 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN177275 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-111962 (Alabama) | Primary |
Entity Name | Muscogee Hospitalist Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
Entity Name | Benning Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
Mailing Address | Practice Location Address |
---|---|
Ms Kaci Absalom, NP 5009 Riverchase Dr Ste 500, Phenix City, AL 36867-7490 Ph: (334) 448-9505 | Ms Kaci Absalom, NP 5009 Riverchase Dr Ste 500, Phenix City, AL 36867-7490 Ph: (334) 448-9505 |
Janice Mcinnis, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Crawford Rd, Phenix City, AL 36867 Phone: 334-297-0251 Fax: 334-291-5478 | |
Alicia Lynn Morris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 678 Lee Road 450, Phenix City, AL 36870 Phone: 706-332-2725 | |
Miss Juanita Jones-harris, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575 | |
Melissa Bailey, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Kittrell Dr, Phenix City, AL 36870 Phone: 706-536-0072 | |
Mrs. Angela J White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575 | |
Mrs. Jamie Danielle Oubre, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505 | |
Courtney Sharpe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5295 Riverchase Dr Apt 1511, Phenix City, AL 36867 Phone: 706-442-3750 |