| Alexandria Wallace, | |
|
4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | |
| (205) 977-9876 | |
| (205) 977-9976 |
| Full Name | Alexandria Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4810 Whitesport Cir Sw Ste 110, Huntsville, Alabama |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811468135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-143113 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Primary And Urgent Care Of Alabama, Llc | 1254741515 | 3 |
| Entity Name | Comprehensive Primary & Urgent Care Of Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750997706 PECOS PAC ID: 1254741515 Enrollment ID: O20201028001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Wallace, 707 W Market St Ste C, Athens, AL 35611-2463 Ph: (256) 444-1815 | Alexandria Wallace, 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 Ph: (205) 977-9876 |
Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804 | |
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4030 Pepperwood Cir Sw, Huntsville, AL 35801 Phone: 256-539-6536 Fax: 256-536-1504 | |
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757 | |
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722 | |
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880 | |
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-429-4000 | |
Kayla Hebert, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635 |