| 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 | 21 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 |
|---|---|---|
| Centerwell Home Health | Rainbow city, AL | Home health agency |
| Amedisys Home Health Of Fort Payne | Rainesville, AL | Home health agency |
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ess Of Eufaula, Llc | 0840677456 | 7 |
| Newgen Alabama Billing Llc | 9133657208 | 99 |
| Family First Medicine, Llc | 4880779503 | 8 |
| 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 | Newgen Alabama Billing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013744424 PECOS PAC ID: 9133657208 Enrollment ID: O20250116003745 |
| 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 |