| Mr Tray Bennett Nesmith, NP | |
|
131 Golfview Dr Ne, Arab, AL 35016-5473 | |
| (256) 640-8416 | |
| (256) 640-8450 |
| Full Name | Mr Tray Bennett Nesmith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 131 Golfview Dr Ne, Arab, 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 |
|---|---|---|---|
| 1871933986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1-108707 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall Medical Centers | Boaz, AL | Hospital |
| Huntsville Hospital | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marshall Primary Care Llc | 5395159388 | 2 |
| Entity Name | Community Urgent Care Lakeside North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013327527 PECOS PAC ID: 5698991891 Enrollment ID: O20140724000934 |
| Entity Name | Marshall Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447854039 PECOS PAC ID: 5395159388 Enrollment ID: O20210203000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tray Bennett Nesmith, NP Po Box 131, Arab, AL 35016-0131 Ph: (256) 640-8416 | Mr Tray Bennett Nesmith, NP 131 Golfview Dr Ne, Arab, AL 35016-5473 Ph: (256) 640-8416 |
Lauren Walls, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 N Brindlee Mountain Pkwy, Arab, AL 35016 Phone: 256-677-4553 | |
Mary Ann Randel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 North Brindlee Avenue, Suite A-1, Arab, AL 35016 Phone: 256-677-4553 | |
Katie Jones, CPNP-PC, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Golfview Dr Ne, Arab, AL 35016 Phone: 256-931-5437 Fax: 833-753-1386 | |
Christa Leach, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 N Brindlee Mountain Pkwy Ste A-1, Arab, AL 35016 Phone: 256-677-4553 Fax: 256-291-3612 | |
Morgan Taylor Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 N Brindlee Mountain Pkwy Ste A-1, Arab, AL 35016 Phone: 256-677-4553 |