| Bonnie Diane Pickett, NP | |
| 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | |
| (251) 824-2174 | |
| (251) 824-2286 | 
| Full Name | Bonnie Diane Pickett | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 12701 Padgett Switch Rd, Irvington, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205608882 | NPI | - | NPPES | 
| 513-27535 | Other | AL | BCBS | 
| 345214 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-158008 (Alabama) | Primary | 
| Entity Name | Coastal Family Health Center, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bonnie Diane Pickett, NP 1209 Bienville Blvd, Dauphin Island, AL 36528-4359 Ph: (251) 214-6119 | Bonnie Diane Pickett, NP 12701 Padgett Switch Rd, Irvington, AL 36544-4011 Ph: (251) 824-2174 | 
| Ms. Carla Ann Baxley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 | |
| Mrs. Tricia Wilson Lee, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8095 Stratford Dr, Irvington, AL 36544 Phone: 251-610-1995 | |
| Michael A Pickert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-3444 | |
| Melissa Sprinkle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-9654 | |
| Ashley Mcbride, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 | |
| Mrs. Monica Clark Taylor, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-4343 |