| Jordan Bass Wald, CRNP | |
|
8000 Liberty Pkwy Ste 114, Vestavia, AL 35242-7563 | |
| (205) 968-5988 | |
| (205) 968-5990 |
| Full Name | Jordan Bass Wald |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 8000 Liberty Pkwy Ste 114, Vestavia, 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 |
|---|---|---|---|
| 1043757784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-135908 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview Medical Center | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affinity Physician Services, Llc | 4385651751 | 82 |
| Southern Immediate Care, Llc | 6103114087 | 41 |
| Entity Name | Affinity Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366485617 PECOS PAC ID: 4385651751 Enrollment ID: O20060309000156 |
| Entity Name | Southern Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Bass Wald, CRNP 1575 Montgomery Hwy, Vestavia Hills, AL 35216-4510 Ph: (205) 822-1150 | Jordan Bass Wald, CRNP 8000 Liberty Pkwy Ste 114, Vestavia, AL 35242-7563 Ph: (205) 968-5988 |
Lindsey M. Beckham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Southland Dr, Vestavia, AL 35226 Phone: 205-721-6200 Fax: 205-721-6201 | |
Jami Archer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2871 Acton Rd Ste 100, Vestavia, AL 35243 Phone: 205-716-6900 Fax: 205-939-0293 | |
Katie H Tuck, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2470 Rocky Ridge Rd, Vestavia, AL 35243 Phone: 205-978-3336 Fax: 205-503-4915 | |
Crystal Alexander Finney, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2090 Columbiana Rd Ste 4000, Vestavia, AL 35216 Phone: 205-552-1738 Fax: 205-521-9512 | |
Jamie Fisher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2871 Acton Rd Ste 100, Vestavia, AL 35243 Phone: 205-716-6900 | |
Mrs. Melanie Warren, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3735 Corporate Woods Dr Ste 105, Vestavia, AL 35242 Phone: 205-900-7337 |