| Michelle Blackburn Kalousek, | |
|
960 Rocket Way, Gardendale, AL 35071-4749 | |
| (205) 263-0952 | |
| Not Available |
| Full Name | Michelle Blackburn Kalousek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 960 Rocket Way, Gardendale, 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 |
|---|---|---|---|
| 1013503127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-123866 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vincentian Physician Services Llc | 1557548161 | 69 |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Vincentian Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Blackburn Kalousek, 5020 Kerry Downs Rd, Birmingham, AL 35242-3906 Ph: (205) 999-8578 | Michelle Blackburn Kalousek, 960 Rocket Way, Gardendale, AL 35071-4749 Ph: (205) 263-0952 |
Judith L Cooley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Fieldstown Rd Ste 104, Gardendale, AL 35071 Phone: 205-631-5521 Fax: 205-631-5540 | |
Jeffrey Seth West, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Rocket Way, Gardendale, AL 35071 Phone: 205-996-1220 | |
Mrs. Hannah Szell, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1326 Main St Ste 116, Gardendale, AL 35071 Phone: 833-746-4325 | |
Ragan Overby, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Mount Olive Parkway, Gardendale, AL 35071 Phone: 205-934-3411 | |
Alisha L Thacker, DNP, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Fieldstown Rd Ste C, Gardendale, AL 35071 Phone: 205-631-5671 Fax: 205-631-6439 | |
Julia Ann Terrell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1753 Decatur Hwy #62, Gardendale, AL 35071 Phone: 205-859-9037 |