Travis Woodley, CRNP | |
3021 Frederick Rd, Opelika, AL 36801-7145 | |
(334) 737-6126 | |
(334) 737-6382 |
Full Name | Travis Woodley |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 3021 Frederick Rd, Opelika, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396274072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-118142 (Alabama) | Primary |
363L00000X | Nurse Practitioner | RN202209 (Georgia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Revitalize Alabama Llc | 4082012836 | 3 |
Revitalize Alabama Llc | 4082012836 | 3 |
Entity Name | Jackson Hospital And Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Entity Name | Revitalize Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942975180 PECOS PAC ID: 4082012836 Enrollment ID: O20211007002599 |
Mailing Address | Practice Location Address |
---|---|
Travis Woodley, CRNP Po Box 2738, Opelika, AL 36803-2738 Ph: (334) 737-6126 | Travis Woodley, CRNP 3021 Frederick Rd, Opelika, AL 36801-7145 Ph: (334) 737-6126 |
Brian Clay Young, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 638 Lee Road 483, Opelika, AL 36804 Phone: 770-547-3632 | |
Mrs. Brandy D Mcculloch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-1112 Fax: 334-528-1547 | |
Ms. Karen Ann Land, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Pkwy, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Sandy Whitaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3320 Skyway Dr, Suite 801, Opelika, AL 36801 Phone: 334-821-0238 Fax: 334-821-6685 | |
Mrs. Nancy Mcdonald, CRNP, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-7200 Fax: 334-528-3470 | |
Mrs. Sylvia Anderson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 N 20th St, #6, Opelika, AL 36801 Phone: 334-749-3385 Fax: 334-745-7672 | |
Kristin Ann Mealer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Lee Road 29, Opelika, AL 36804 Phone: 334-733-0336 |