| Elizabeth R Bacchus, NP | |
|
2256 Gilmer Ave, Tallassee, AL 36078-7114 | |
| (334) 567-8633 | |
| Not Available |
| Full Name | Elizabeth R Bacchus |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2256 Gilmer Ave, Tallassee, 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 |
|---|---|---|---|
| 1578952206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-114945 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stopwatch Urgent Care Centers Llc | 7719166230 | 32 |
| Entity Name | Physical Express |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043362734 PECOS PAC ID: 3476531039 Enrollment ID: O20050720000998 |
| Entity Name | Ivy Creek Of Elmore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 |
| Entity Name | Stopwatch Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664 |
| Entity Name | Wetumpka Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194057554 PECOS PAC ID: 6800053133 Enrollment ID: O20120130000098 |
| Entity Name | Chilton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366857674 PECOS PAC ID: 7517189855 Enrollment ID: O20141120002311 |
| Entity Name | Medical Center Plus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104459411 PECOS PAC ID: 7911317755 Enrollment ID: O20201105000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth R Bacchus, NP Po Box 130, Wetumpka, AL 36092-0003 Ph: (334) 514-3821 | Elizabeth R Bacchus, NP 2256 Gilmer Ave, Tallassee, AL 36078-7114 Ph: (334) 567-8633 |
Mr. Deray Junior Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-1060 | |
Brandi Criswell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 | |
Mrs. Adrienne Bolan Goggans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Nicole G Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-3975 | |
Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291 |