| Alexcia Dawn Pennell, CNM, FNP-C | |
|
550 Redstone Ave W, Crestview, FL 32536-6428 | |
| (850) 689-2229 | |
| Not Available |
| Full Name | Alexcia Dawn Pennell |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 4 Years |
| Location | 550 Redstone Ave W, Crestview, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407249691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11021829 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN11021829 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Okaloosa Clinic Corp | 0244205565 | 18 |
| Entity Name | North Okaloosa Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexcia Dawn Pennell, CNM, FNP-C 550 Redstone Ave W Ste 470, Crestview, FL 32536-6457 Ph: (850) 689-2229 | Alexcia Dawn Pennell, CNM, FNP-C 550 Redstone Ave W, Crestview, FL 32536-6428 Ph: (850) 689-2229 |
Mrs. Jessica Ann Gibson, MSN, CNM, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd, Suite A4, Crestview, FL 32536 Phone: 850-398-8940 | |
Marilyn Ruth Smith, NP-C APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6273 Equine Dr, Crestview, FL 32536 Phone: 561-271-0621 Fax: 850-331-3233 |