| Mrs Dayleigh Wisener, FNP | |
|
20 S Main St, Arab, AL 35016-1394 | |
| (256) 586-2324 | |
| Not Available |
| Full Name | Mrs Dayleigh Wisener |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 20 S Main St, Arab, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124710959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1-178238 (Alabama) | Primary |
| Entity Name | Lakeside Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477657823 PECOS PAC ID: 8628980034 Enrollment ID: O20031104000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dayleigh Wisener, FNP 178 Brown Acres, Guntersville, AL 35976-5542 Ph: (256) 572-3858 | Mrs Dayleigh Wisener, FNP 20 S Main St, Arab, AL 35016-1394 Ph: (256) 586-2324 |
Dr. Randall Keith Morgan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Golfview Dr Ne, Morgan Family Practice Llc, Arab, AL 35016 Phone: 256-586-1212 Fax: 256-931-2270 | |
Sarah Catherine Stephenson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 20 S Main St, Arab, AL 35016 Phone: 833-586-2324 | |
Dr. John Benton Crider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1170 N Main St, Arab, AL 35016 Phone: 256-586-4127 Fax: 256-586-0535 | |
Kimberly J Self, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 20 S Main St, Arab, AL 35016 Phone: 256-586-2324 Fax: 256-586-2321 |