| Devin Fancher, | |
|
221 Hospital Rd, Red Bay, AL 35582-3858 | |
| (256) 376-2032 | |
| (256) 376-2055 |
| Full Name | Devin Fancher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 221 Hospital Rd, Red Bay, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588046155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-177157 (Alabama) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R891550 (Mississippi) | Secondary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Fancher, 221 Hospital Rd, Red Bay, AL 35582-3858 Ph: (256) 376-2032 | Devin Fancher, 221 Hospital Rd, Red Bay, AL 35582-3858 Ph: (256) 376-2032 |
Kaitlin Paige Gresham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 5th St Se, Red Bay, AL 35582 Phone: 256-376-2036 Fax: 256-376-2064 | |
Kayla Marie Humphries, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hospital Rd, Red Bay, AL 35582 Phone: 256-356-8907 Fax: 256-356-8903 | |
Brandie Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 5th Ave Sw, Red Bay, AL 35582 Phone: 256-483-2882 |