| Michelle Brack, NP-C | |
|
502 Hall Rd, Thomasville, GA 31757-8105 | |
| (229) 224-7423 | |
| Not Available |
| Full Name | Michelle Brack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 502 Hall Rd, Thomasville, Georgia |
| 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 |
|---|---|---|---|
| 1235769985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN173440 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chronic Disease Management Of Georgia Llc | 7618306721 | 72 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Transitional Care Physicians Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619317542 PECOS PAC ID: 4486895083 Enrollment ID: O20130724000471 |
| Entity Name | Chronic Disease Management Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Brack, NP-C 502 Hall Rd, Thomasville, GA 31757-8105 Ph: (229) 225-3917 | Michelle Brack, NP-C 502 Hall Rd, Thomasville, GA 31757-8105 Ph: (229) 224-7423 |
Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871 | |
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335 | |
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548 | |
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830 | |
Mary Racheal Havens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510 | |
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 | |
Cecilie Cowie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 |