| Mrs Latanja Shanta Bettis, CRNP | |
|
611 E Laurel St, Atmore, AL 36502-3014 | |
| (251) 368-8001 | |
| (513) 688-0812 |
| Full Name | Mrs Latanja Shanta Bettis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 611 E Laurel St, Atmore, 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 |
|---|---|---|---|
| 1780810622 | NPI | - | NPPES |
| 299404 | Medicaid | AL | |
| 630000013 | Medicaid | AL | |
| 011846 | Other | AL | MEDICARE GROUP NUMBER |
| 1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
| 1093994758 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-088729 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atmore Community Hospital | Atmore, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Escambia County Alabama Community Hospitals, Inc | 4385616119 | 11 |
| Entity Name | Escambia County Alabama Community Hospitals, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124073879 PECOS PAC ID: 4385616119 Enrollment ID: O20040811000712 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Entity Name | Prevmed Alabama, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487228425 PECOS PAC ID: 9830594456 Enrollment ID: O20210819003446 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Latanja Shanta Bettis, CRNP 611 E Laurel St, Atmore, AL 36502-3014 Ph: (251) 368-8001 | Mrs Latanja Shanta Bettis, CRNP 611 E Laurel St, Atmore, AL 36502-3014 Ph: (251) 368-8001 |
Brittany Shantel Murry, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9677 Highway 21, Atmore, AL 36502 Phone: 251-368-8122 | |
Matthew Barnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2500 | |
Stephanie Terese Godwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5850 Highway 21, Atmore, AL 36502 Phone: 251-368-6245 Fax: 251-368-6248 | |
Mr. Shawn Manuel Geohagan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9677 Highway 21, Atmore, AL 36502 Phone: 251-368-8122 | |
Keith Scott Classen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2500 | |
Mrs. Rachael Marie Shumaker, APRN/CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 E Laurel St, Atmore, AL 36502 Phone: 251-368-6960 Fax: 251-368-1378 | |
Julia Gordon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5811 Jack Springs Rd, Atmore, AL 36502 Phone: 251-368-8630 |