Nicholas Krishnan, | |
1103 16th Ave Se, Decatur, AL 35601-3595 | |
(256) 350-0362 | |
(256) 355-9779 |
Full Name | Nicholas Krishnan |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1103 16th Ave Se, Decatur, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699169474 | NPI | - | NPPES |
PA.1045 | Other | AL | ALABAMA PA LICENSE |
51160179 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
170557 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-1045 (Alabama) | Primary |
Entity Name | App Of Tennessee Hm, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Krishnan, 1103 16th Ave Se, Decatur, AL 35601-3595 Ph: (256) 350-0362 | Nicholas Krishnan, 1103 16th Ave Se, Decatur, AL 35601-3595 Ph: (256) 350-0362 |
Mr. Phillip Shannon Farris, PA-C, MPAS. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 | |
Melea Lenore Mullican, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1107 14th Ave Se Ste 200, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 | |
Tammie S Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 Beltline Rd Se Ste 400, Decatur, AL 35601 Phone: 256-898-3004 Fax: 256-898-3009 | |
Mrs. Katherine Mclaurin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2606 | |
Aseel Dawood Hajazin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 | |
Angela Eady, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2506a Danville Rd Sw Ste 103, Decatur, AL 35603 Phone: 256-301-9749 Fax: 256-301-9753 | |
Mrs. Stephanie Michelle Saint, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-705-4224 Fax: 256-705-4135 |