| Jennifer Hagan Mann, CRNP | |
|
213 Lightwood Rd Ste 1, Deatsville, AL 36022-3800 | |
| (334) 543-4164 | |
| (334) 543-4165 |
| Full Name | Jennifer Hagan Mann |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 213 Lightwood Rd Ste 1, Deatsville, 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 |
|---|---|---|---|
| 1063644623 | NPI | - | NPPES |
| 1-100304 | Other | AL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-100304 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prattville Baptist Hospital | Prattville, AL | Hospital |
| Elmore Community Hospital | Wetumpka, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holtville Family Practice | 5890059240 | 3 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | Emergency Services Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
| Entity Name | Holtville Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497260889 PECOS PAC ID: 5890059240 Enrollment ID: O20180510001816 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Hagan Mann, CRNP 564 N Memorial Dr, Prattville, AL 36067-2132 Ph: (334) 358-2010 | Jennifer Hagan Mann, CRNP 213 Lightwood Rd Ste 1, Deatsville, AL 36022-3800 Ph: (334) 543-4164 |
Christopher Luke Barkley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Brookshire Dr, Deatsville, AL 36022 Phone: 334-462-3992 | |
Jessica Levett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Charlton Pl, Deatsville, AL 36022 Phone: 334-290-6900 | |
Carey Williams, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Lightwood Rd Ste 1, Deatsville, AL 36022 Phone: 334-543-4164 Fax: 334-543-4165 | |
Mary Kelley Cousins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 290 Laney Ln, Deatsville, AL 36022 Phone: 334-301-1296 | |
Jamie C Mathis, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4412 Hogan Rd, Deatsville, AL 36022 Phone: 334-543-4851 Fax: 833-434-1412 | |
Christina Elizabeth Brady, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4412 Hogan Rd, Deatsville, AL 36022 Phone: 334-543-4851 Fax: 833-434-1412 |