| Charlee Rene Rusk, NP-C | |
| 
					1302 S Broad St, Scottsboro, AL 35768-2605  | |
| (256) 218-4080 | |
| (256) 218-4080 | 
| Full Name | Charlee Rene Rusk | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1302 S Broad St, Scottsboro, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750968707 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 1-166802 (Alabama) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 1-166802 (Alabama) | Primary | 
| Entity Name | Scottsboro Family Physicians Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639362239 PECOS PAC ID: 4789773508 Enrollment ID: O20071203000066  | 
| Entity Name | Marshall Medical Center North | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598997728 PECOS PAC ID: 3577619873 Enrollment ID: O20090928000390  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charlee Rene Rusk, NP-C 1754 County Road 380, Boaz, AL 35957-8243 Ph: (256) 200-6223  | Charlee Rene Rusk, NP-C 1302 S Broad St, Scottsboro, AL 35768-2605 Ph: (256) 218-4080  | 
Marla Byrum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 W Cloverdale Rd, Scottsboro, AL 35768 Phone: 337-991-9276  | |
Mrs. Maura Owens Galvez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808  | |
Mrs. Dakota Ellis Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Woods Cove Rd, Scottsboro, AL 35768 Phone: 256-218-3340 Fax: 256-218-3655  | |
Shelby Graves, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Veterans Dr Ste 107, Scottsboro, AL 35768 Phone: 256-776-7765 Fax: 256-964-9567  | |
Ms. Charis W Peek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2207 Moody Ridge Rd, Scottsboro, AL 35768 Phone: 256-259-1327  | |
Claudette B Wygal, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Burlington St, Scottsboro, AL 35768 Phone: 256-259-4100 Fax: 256-259-4104  | |
Mrs. Laura C Walls, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 S Broad St Ste 300, Scottsboro, AL 35768 Phone: 256-259-3600 Fax: 256-256-3601  |