| Mr Jason Richard, CRNP | |
|
805 E Lee St, Enterprise, AL 36330-2368 | |
| (334) 348-8818 | |
| (334) 393-8773 |
| Full Name | Mr Jason Richard |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 805 E Lee St, Enterprise, 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 |
|---|---|---|---|
| 1770966202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-133901 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Family Care, Llc | 9739087818 | 168 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Enterprise Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639491616 PECOS PAC ID: 1456488667 Enrollment ID: O20100420000715 |
| Entity Name | Enterprise Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285180729 PECOS PAC ID: 1456647197 Enrollment ID: O20160907001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Richard, CRNP 805 E Lee St, Enterprise, AL 36330-2368 Ph: (334) 348-8818 | Mr Jason Richard, CRNP 805 E Lee St, Enterprise, AL 36330-2368 Ph: (334) 348-8818 |
Ms. Julie Frances Hughes, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-393-7337 | |
Jessica E Poitevint, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Samantha Elizabeth Pickett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
Millicent R Harrison, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Brandon Skinner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 N Main St, Enterprise, AL 36330 Phone: 334-308-9797 | |
Ms. Shelley Nicole Cammarota, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606a Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-475-2462 | |
Amber Amuso Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 |