| Mrs Kelly Mcclellan Hall, CRNP | |
|
705 Us Highway 80 W, Demopolis, AL 36732-4113 | |
| (334) 289-0225 | |
| (334) 287-3340 |
| Full Name | Mrs Kelly Mcclellan Hall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 705 Us Highway 80 W, Demopolis, 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 |
|---|---|---|---|
| 1881731917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-079822 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Whitfield Regional Hospital | Demopolis, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medcenter Demopolis Llc | 0244409134 | 9 |
| Tuscaloosa Medcenter South Llc | 6305813221 | 23 |
| Tuscaloosa Medcenter North, Llc | 9537167721 | 26 |
| Entity Name | Tuscaloosa Medcenter South Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689689481 PECOS PAC ID: 6305813221 Enrollment ID: O20040910001167 |
| Entity Name | Tuscaloosa Medcenter North, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972518777 PECOS PAC ID: 9537167721 Enrollment ID: O20061122000471 |
| Entity Name | Medcenter Demopolis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184913030 PECOS PAC ID: 0244409134 Enrollment ID: O20110810000460 |
| Entity Name | Medcenter Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546357 PECOS PAC ID: 3274807615 Enrollment ID: O20170922001675 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Mcclellan Hall, CRNP 705 Us Highway 80 W, Demopolis, AL 36732-4113 Ph: (334) 289-0225 | Mrs Kelly Mcclellan Hall, CRNP 705 Us Highway 80 W, Demopolis, AL 36732-4113 Ph: (334) 289-0225 |
Laura E Glass, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-289-4000 | |
Susan Flexer Roy, CRNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-0225 Fax: 334-287-0245 | |
Ms. Helen Myers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 S Cedar Ave, Demopolis, AL 36732 Phone: 334-289-7303 | |
Mrs. Bianca A Norris, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-287-2837 Fax: 334-287-2480 | |
Mrs. Linda Bodle Mcadams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Highway 80 West, Demopolis, AL 36732 Phone: 334-289-0526 Fax: 334-289-5343 | |
Lori Wood Sudduth, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-1517 Fax: 334-289-8353 | |
Ms. Cassandra Latham, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Us Highway 80 E, Demopolis, AL 36732 Phone: 334-289-4000 |