| Mary C Kimbrell, CRNP | |
|
12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | |
| (256) 828-6766 | |
| Not Available |
| Full Name | Mary C Kimbrell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 12935 Highway 231 431 N, Hazel Green, 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 |
|---|---|---|---|
| 1245511138 | NPI | - | NPPES |
| 1-114767 | Other | ALABAMA BOARD OF NURSING LICENSE | |
| 2010013963 | Other | AMERICAN NURSES CREDITIALING ENTER FOR FNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-114767 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthosports1st Pc | 8729402037 | 13 |
| Entity Name | Emergency Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
| Entity Name | Orthosports1st Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701673 PECOS PAC ID: 8729402037 Enrollment ID: O20200720003475 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Kimbrell, CRNP 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 Ph: (256) 828-9440 | Mary C Kimbrell, CRNP 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 Ph: (256) 828-6766 |
Gregory Matthew Headley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 931-626-6428 | |
Tiffany Wilburn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 Fax: 866-782-9553 | |
Mrs. Bonnie Jane Peterson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 Fax: 256-261-7877 | |
Mrs. Shayna Spearman Kidd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 | |
Mrs. Brandi Rene Harbin, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13596 Highway 231 431 N Ste 4, Hazel Green, AL 35750 Phone: 256-428-4990 Fax: 256-428-4991 | |
Kylee Rae Miller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13596 Highway 231 431 N Ste 4, Hazel Green, AL 35750 Phone: 256-428-4990 Fax: 256-428-4991 |