| Kimberly L Buckalew, CRNP | |
|
209 Main St, Wedowee, AL 36278-5139 | |
| (256) 357-2111 | |
| (256) 357-0175 |
| Full Name | Kimberly L Buckalew |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 209 Main St, Wedowee, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013189398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1058194 (Alabama) | Primary |
| Entity Name | Quality Of Life Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
| Entity Name | Anniston Careplus, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295275139 PECOS PAC ID: 0648557801 Enrollment ID: O20170426001461 |
| Entity Name | Rainbow City Careplus, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982257762 PECOS PAC ID: 3779904263 Enrollment ID: O20200609003172 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly L Buckalew, CRNP 209 Main St, Wedowee, AL 36278-5139 Ph: (256) 357-2111 | Kimberly L Buckalew, CRNP 209 Main St, Wedowee, AL 36278-5139 Ph: (256) 357-2111 |
Richard Daniel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main S St, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Mrs. Shanda Cotney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Karen Jo Thompson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
Mrs. Angela Cox Loveless, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Sarah Vanecia Davidson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Main Street, Wedowee, AL 36278 Phone: 256-357-2111 | |
Ms. Brandi Michelle Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main St S Ste A, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 |