| Dedra L Capps, CRNP | |
|
504 Mccurdy Ave South, Suite, Rainsville, AL 35986-5254 | |
| (256) 638-9161 | |
| (256) 638-9164 |
| Full Name | Dedra L Capps |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 504 Mccurdy Ave South, Rainsville, Alabama |
| 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 |
|---|---|---|---|
| 1114027513 | NPI | - | NPPES |
| P00695177 | Other | AL | RR MEDICARE |
| DO6289 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-093350 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 1-093350 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ess Of Eufaula, Llc | 0840677456 | 8 |
| Family First Medicine, Llc | 4880779503 | 6 |
| Entity Name | Doctors Med Care Of Jacksonville, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326079922 PECOS PAC ID: 0446270318 Enrollment ID: O20051207000193 |
| Entity Name | Fort Payne Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764395 PECOS PAC ID: 5698779304 Enrollment ID: O20060912000391 |
| Entity Name | Family First Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194905075 PECOS PAC ID: 4880779503 Enrollment ID: O20080305000453 |
| Entity Name | Ess Of Eufaula, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013650456 PECOS PAC ID: 0840677456 Enrollment ID: O20220520001733 |
| Entity Name | Em Transform, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285417154 PECOS PAC ID: 6507216454 Enrollment ID: O20231219002105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dedra L Capps, CRNP Po Box 649, Rainsville, AL 35986-0649 Ph: (256) 638-9161 | Dedra L Capps, CRNP 504 Mccurdy Ave South, Suite, Rainsville, AL 35986-5254 Ph: (256) 638-9161 |