| Michael Lance Bevels, CRNP | |
|
301 Mariarden Rd, Dadeville, AL 36853-6254 | |
| (256) 825-7821 | |
| Not Available |
| Full Name | Michael Lance Bevels |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 301 Mariarden Rd, Dadeville, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093595746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-129125 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Martin Community Hospital | Dadeville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivy Creek Family Care Of Lake Martin | 6103281977 | 5 |
| Entity Name | Ivy Creek Of Tallapoosa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
| Entity Name | Nes Tennessee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
| Entity Name | Ivy Creek Family Care Of Lake Martin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609572890 PECOS PAC ID: 6103281977 Enrollment ID: O20230501000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lance Bevels, CRNP 6510 Highway 63 S, Alexander City, AL 35010-6160 Ph: (256) 307-5304 | Michael Lance Bevels, CRNP 301 Mariarden Rd, Dadeville, AL 36853-6254 Ph: (256) 825-7821 |
Kimberly A Robertson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-3280 Fax: 256-827-0808 | |
Mrs. Sabrina Colley Davis, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-3272 Fax: 256-825-8578 | |
Cathy Pitts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-7871 | |
Lori Michelle Mosley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821 Fax: 256-825-3290 | |
Barbara Wilder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742 | |
Mrs. Tara Jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1034 S Tallassee St, Dadeville, AL 36853 Phone: 256-825-9900 |