Victoria Casson, | |
148 J C Mauldin Hwy, Killen, AL 35645-9106 | |
(256) 757-5353 | |
Not Available |
Full Name | Victoria Casson |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 148 J C Mauldin Hwy, Killen, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164873717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 1-101474 (Alabama) | Primary |
Entity Name | Crossroads Family Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538737010 PECOS PAC ID: 9739582842 Enrollment ID: O20210727003942 |
Mailing Address | Practice Location Address |
---|---|
Victoria Casson, 148 J C Mauldin Hwy, Killen, AL 35645-9106 Ph: (256) 757-5353 | Victoria Casson, 148 J C Mauldin Hwy, Killen, AL 35645-9106 Ph: (256) 757-5353 |
Jana Marie Berry, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6459 Highway 72, Killen, AL 35645 Phone: 256-272-0275 | |
Dawn Marie Hardin, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 167 County Road 342, Killen, AL 35645 Phone: 256-366-1319 | |
Heather Tennell Garrett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 Highway 64, Killen, AL 35645 Phone: 256-272-8066 | |
Tiffany Reshea Riner, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 230 J C Mauldin Hwy, Killen, AL 35645 Phone: 256-272-5328 | |
Brittnay K Mitchell, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 J C Mauldin Hwy, Killen, AL 35645 Phone: 256-757-5353 Fax: 256-757-9744 | |
Kristen Dollar Martin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 J C Mauldin Hwy, Killen, AL 35645 Phone: 256-272-5328 |