| Leigh A Wallace, | |
|
170 County Road 360, Florence, AL 35634-5252 | |
| (256) 335-5773 | |
| Not Available |
| Full Name | Leigh A Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 170 County Road 360, Florence, 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 |
|---|---|---|---|
| 1902496136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-100834 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-100834 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoals Primary Care, Llc | 1557406246 | 41 |
| Entity Name | Shoals Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326373861 PECOS PAC ID: 1557406246 Enrollment ID: O20100305000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh A Wallace, 170 County Road 360, Florence, AL 35634-5252 Ph: (256) 335-5773 | Leigh A Wallace, 170 County Road 360, Florence, AL 35634-5252 Ph: (256) 335-5773 |
Kendra L Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2612 Hough Rd, Florence, AL 35630 Phone: 256-275-3724 Fax: 877-441-0602 | |
Ruthann Allison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1609 Mockingbird Ct Ste B, Florence, AL 35630 Phone: 256-320-7781 | |
Jessi Blackstock Tidwell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2904 Mall Rd, Florence, AL 35630 Phone: 256-768-5350 Fax: 949-695-4340 | |
Cameron Patrick Henderson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-629-1000 | |
Mrs. April Michelle Brooks, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541 W. College St, 2400, Florence, AL 35630 Phone: 256-767-0081 Fax: 256-767-3077 | |
Brittany Churchwell Gifford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 W College St Ste 2400, Florence, AL 35630 Phone: 256-980-6999 | |
Abbey Robinson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2129 Helton Dr, Florence, AL 35630 Phone: 256-367-4916 Fax: 256-760-3145 |