| Molly Jackson Gwin, CRNP | |
|
100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 | |
| (205) 349-4200 | |
| (205) 558-9190 |
| Full Name | Molly Jackson Gwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 100 Rice Mine Rd N Ste 100, Tuscaloosa, 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 |
|---|---|---|---|
| 1831813120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F0722137 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dch Regional Medical Center | Tuscaloosa, AL | Hospital |
| Hale County Hospital | Greensboro, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Physician Network, P.c. | 0840337721 | 46 |
| Hale County Hospital | 3375528169 | 19 |
| Relias Emergency Medicine Specialists Of Regional, Llc | 9436401106 | 29 |
| Entity Name | Hale County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124356563 PECOS PAC ID: 3375528169 Enrollment ID: O20040624000445 |
| Entity Name | Southeast Physician Network, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598090839 PECOS PAC ID: 0840337721 Enrollment ID: O20091026000423 |
| Entity Name | Relias Emergency Medicine Specialists of Fayette LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201543 PECOS PAC ID: 6800147604 Enrollment ID: O20180918001531 |
| Entity Name | Relias Emergency Medicine Specialists of Northport, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699261149 PECOS PAC ID: 2668724634 Enrollment ID: O20181003001104 |
| Entity Name | Relias Emergency Medicine Specialists of Regional, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619463163 PECOS PAC ID: 9436401106 Enrollment ID: O20181008000902 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Jackson Gwin, CRNP 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 Ph: (205) 349-4200 | Molly Jackson Gwin, CRNP 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 Ph: (205) 349-4200 |
Ms. Sarah Oliver Pate, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 |
Mrs. Haley Patrick Hill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Rice Mine Road, Suite B, Tuscaloosa, AL 35406 Phone: 205-349-4200 |
Doris D Patton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000 |
Casey Elizabeth Moore, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1651 Ruby Tyler Pkwy, Tuscaloosa, AL 35404 Phone: 205-507-8930 |
Caleb Elmore, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E Ste 400, Tuscaloosa, AL 35401 Phone: 205-752-0694 Fax: 205-752-6244 |
Amy Moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Rice Mine Road Loop Ste 104, Tuscaloosa, AL 35406 Phone: 205-561-2370 Fax: 205-345-4921 |
Holly K. Freeman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Towncenter Blvd, Ste 300, Tuscaloosa, AL 35406 Phone: 205-710-3838 Fax: 205-710-3839 |