| Kristen Mcdaniel Fuller, CRNA | |
|
3316 Highway 280, Alexander City, AL 35010-3369 | |
| (256) 329-7146 | |
| Not Available |
| Full Name | Kristen Mcdaniel Fuller |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 3316 Highway 280, Alexander City, 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 |
|---|---|---|---|
| 1194107490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-126963 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell Medical Center | Alexander city, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Lake Health Alabama, Llc | 8325415375 | 18 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170516000950 |
| Entity Name | Blue Lake Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Mcdaniel Fuller, CRNA 2151 Old Rocky Ridge Rd, Suite 106, Birmingham, AL 35216-7235 Ph: (205) 989-1080 | Kristen Mcdaniel Fuller, CRNA 3316 Highway 280, Alexander City, AL 35010-3369 Ph: (256) 329-7146 |
Mary C. Forbus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 256-329-7600 | |
Genie A Boles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 256-329-7600 | |
Robyn P. Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 205-989-1087 | |
Renee Payne Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7100 | |
Phyllis A Pemberton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7120 Fax: 256-329-7600 | |
Carrie Granger Wilder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3316 Highway 280, Alexander City, AL 35010 Phone: 256-329-7100 |