Kaitlin Paige Gresham, CRNP | |
399 5th St Se, Red Bay, AL 35582-4192 | |
(256) 376-2036 | |
(256) 376-2064 |
Full Name | Kaitlin Paige Gresham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 399 5th St Se, 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 |
---|---|---|---|
1316527682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-179637 (Alabama) | Primary |
Entity Name | Bay Health & Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760028864 PECOS PAC ID: 0345675112 Enrollment ID: O20200124001559 |
Mailing Address | Practice Location Address |
---|---|
Kaitlin Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 | Kaitlin Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 |
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 | |
Devin Fancher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hospital Rd, Red Bay, AL 35582 Phone: 256-376-2032 Fax: 256-376-2055 | |
Brandie Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 5th Ave Sw, Red Bay, AL 35582 Phone: 256-483-2882 |