| Jaclyn Rae Collie, CRNP | |
|
3625 S Hickory St Ste 102, Loxley, AL 36551-4590 | |
| (251) 677-6800 | |
| (251) 677-6801 |
| Full Name | Jaclyn Rae Collie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3625 S Hickory St Ste 102, Loxley, 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 |
|---|---|---|---|
| 1922509520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-153844 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Athens Limestone Hospital | Athens, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waddell Center Family Medicine | 3577832542 | 5 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Sleep & Pulmonary Care Center, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346406469 PECOS PAC ID: 5799850731 Enrollment ID: O20080826000497 |
| Entity Name | Alh Hospitalist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770992398 PECOS PAC ID: 7517289861 Enrollment ID: O20141124001005 |
| Entity Name | Waddell Center Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104353226 PECOS PAC ID: 3577832542 Enrollment ID: O20170706002696 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Rae Collie, CRNP Po Box 689022, Franklin, TN 37068-9022 Ph: (629) 235-9745 | Jaclyn Rae Collie, CRNP 3625 S Hickory St Ste 102, Loxley, AL 36551-4590 Ph: (251) 677-6800 |
Matthew Dorsett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27572 County Road 66 N, Loxley, AL 36551 Phone: 251-234-9209 | |
Ms. Brandy Nicholson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1083 E Relham Dr, Loxley, AL 36551 Phone: 251-964-4011 Fax: 251-964-4012 | |
Kelli Gillman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1083 E Relham Dr, Loxley, AL 36551 Phone: 251-964-4011 Fax: 251-964-4012 | |
Melissa Goldman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2127 N Hickory St Ste E, Loxley, AL 36551 Phone: 850-466-1070 Fax: 539-666-1602 | |
Shandi Shiver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1083 E Relham Ave, Loxley, AL 36551 Phone: 251-964-4011 |