| Roy E Patrick, CRNA | |
|
1300 S Montgomery Ave, Sheffield, AL 35660-6334 | |
| (256) 386-4005 | |
| (256) 386-4685 |
| Full Name | Roy E Patrick |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1300 S Montgomery Ave, Sheffield, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427158583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1031150 (Alabama) | Primary |
| Entity Name | Blue Lake Health Alabama, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy E Patrick, CRNA 1200 Patrick Ln, Cherokee, AL 35616-4920 Ph: (256) 370-7714 | Roy E Patrick, CRNA 1300 S Montgomery Ave, Sheffield, AL 35660-6334 Ph: (256) 386-4005 |
Jeffery Ross Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 Fax: 256-386-4685 | |
Eric C Stevens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 Fax: 256-386-4685 | |
Russell Wade Daily, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 | |
Deborah Jean Lytal-britton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 Fax: 256-386-4685 | |
Randall J Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 Fax: 256-386-4685 | |
Daniel Joseph Puckett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 S Montgomery Ave, Sheffield, AL 35660 Phone: 256-386-4005 Fax: 256-386-4685 |