| Charles Ridgeway Payne, | |
|
3631 Grand Central Ave, Fultondale, AL 35068-1997 | |
| (205) 535-6011 | |
| Not Available |
| Full Name | Charles Ridgeway Payne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 3631 Grand Central Ave, Fultondale, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164128062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-171896 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent's Chilton | Clanton, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Contracting Services Llc | 3971417825 | 298 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Ridgeway Payne, 3631 Grand Central Ave, Fultondale, AL 35068-1997 Ph: (205) 535-6011 | Charles Ridgeway Payne, 3631 Grand Central Ave, Fultondale, AL 35068-1997 Ph: (205) 535-6011 |
Mrs. Jennifer Grace Peacock, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6424 | |
Emily Burns, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6000 | |
Mrs. Meleah Beth Yates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811 | |
Daniel Nailor, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz, #115, Fultondale, AL 35068 Phone: 205-340-5712 | |
Dr. Jennifer Amarachi Ukeje, DNP-FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 782 Pullman Ln, Fultondale, AL 35068 Phone: 205-413-2285 | |
Troy Henderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811 Fax: 205-250-9812 |