Mrs Donette Rae Survance, NP in Montgomery, AL

Mrs Donette Rae Survance, NP is a medicare enrolled "Nurse Practitioner - Family" in Montgomery, Alabama. Her current practice location is 4749 Berry Blvd, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 747-8850.

Mrs Donette Rae Survance is licensed to practice in Alabama (license number 1-161525) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487047775.

Contact Information

	Mrs Donette Rae Survance, NP
	4749 Berry Blvd, Montgomery, AL 36106-3079
	(334) 747-8850
	(334) 747-8860

Map and Direction

Provider's Profile

Full Name	Mrs Donette Rae Survance
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4749 Berry Blvd, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487047775
Provider Enumeration Date: 03/10/2015
Last Update Date: 01/29/2018

Medicare PECOS Information:

PECOS PAC ID: 0648599464
Enrollment ID: I20150429001161

Medical Identifiers

Medical identifiers for Mrs Donette Rae Survance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487047775	NPI	-	NPPES
102I506794	Other	AL	MEDICARE
512-1203	Other	AL	BCBS
206270	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19336 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	1-161525 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Donette Rae Survance allows following entities to bill medicare on her behalf.

Entity Name	Medcare Express - North Charleston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200

Entity Name	Minuteclinic Diagnostic South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409

Entity Name	Vitality Medical Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982999249 PECOS PAC ID: 5890964340 Enrollment ID: O20110818000025

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Donette Rae Survance is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Donette Rae Survance, NP 301 Brown Springs Rd, Montgomery, AL 36117-7005 Ph: (334) 273-4159	Mrs Donette Rae Survance, NP 4749 Berry Blvd, Montgomery, AL 36106-3079 Ph: (334) 747-8850

Reviews and Comments

Nurse Practitioner Nurses in Montgomery, AL

Kathryn Nicole Logan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116 Phone: 334-747-7780 Fax: 334-747-7790
Mrs. Katelyn Perry Barnes, NP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 488 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-288-7808 Fax: 334-288-8089
Christine Morris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7125 University Ct, Montgomery, AL 36117 Phone: 334-239-2622
Dr. Morgan Renee Carter, DNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4145 Carmichael Rd, Montgomery, AL 36106 Phone: 334-273-7000 Fax: 334-273-2228
Kaitlyn Wells, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6940 Winton Blount Blvd, Montgomery, AL 36117 Phone: 334-279-9211
Angela K Rayborn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1725 W 4th St # Na, Montgomery, AL 36106 Phone: 334-262-2071
Brittney Marie Barber, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7065 Sydney Curv, Montgomery, AL 36117 Phone: 334-495-2600 Fax: 334-495-2604

Mrs Donette Rae Survance, NP - Medicare Nurse Practitioner in Montgomery, AL