| Katie Lynn Pickens, | |
|
817 Griffin Ave, Eastman, GA 31023-6718 | |
| (478) 374-1801 | |
| (478) 448-4586 |
| Full Name | Katie Lynn Pickens |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 817 Griffin Ave, Eastman, Georgia |
| 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 |
|---|---|---|---|
| 1255160735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | GAA-NP004365 (Georgia) | Primary |
| 363L00000X | Nurse Practitioner | 6461572 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vannvei Llc | 1254743420 | 17 |
| Entity Name | Vannvei Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881200517 PECOS PAC ID: 1254743420 Enrollment ID: O20201211000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Lynn Pickens, 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-1801 | Katie Lynn Pickens, 817 Griffin Ave, Eastman, GA 31023-6718 Ph: (478) 374-1801 |
Abby Lane Clements, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Britney Ward Smith, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Indian Dr, Eastman, GA 31023 Phone: 478-374-1778 | |
Dr. Amy Harrell Banks, DNP, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Plaza Ave Ste C, Eastman, GA 31023 Phone: 478-374-5774 Fax: 478-374-9112 | |
Ms. Virginia Ann Dupraw, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Vickie Locke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 Woodvalley Dr, Eastman, GA 31023 Phone: 478-374-2286 | |
Brianna Jessup Crummey, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 Plaza Ave Ste C, Eastman, GA 31023 Phone: 478-374-5774 |