| Traci A Bullock, CRNP | |
|
101 Fitness Way Ste 1200, Athens, AL 35611-2492 | |
| (256) 236-0636 | |
| (256) 232-1281 |
| Full Name | Traci A Bullock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 101 Fitness Way Ste 1200, Athens, 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 |
|---|---|---|---|
| 1124668132 | NPI | - | NPPES |
| I128481 | Other | AL | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | I28281 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Athens Limestone Hospital | Athens, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Obstetrics And Womens Pelvic Health Center | 3476726480 | 7 |
| Elkmont Community Care | 3870830979 | 2 |
| Entity Name | Belinda Maples M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346318474 PECOS PAC ID: 5496706954 Enrollment ID: O20050202000599 |
| Entity Name | Valley Obstetrics & Womens Pelvic Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487938494 PECOS PAC ID: 3476726480 Enrollment ID: O20111107000581 |
| Entity Name | Elkmont Community Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194207084 PECOS PAC ID: 3870830979 Enrollment ID: O20190128002958 |
| Entity Name | Tanner Community Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134791668 PECOS PAC ID: 0749684728 Enrollment ID: O20210812003362 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci A Bullock, CRNP 101 Fitness Way Ste 1200, Athens, AL 35611-2492 Ph: (256) 236-0636 | Traci A Bullock, CRNP 101 Fitness Way Ste 1200, Athens, AL 35611-2492 Ph: (256) 236-0636 |
Zachary Andrew Curtis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 | |
Anne Tate Wilson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611 Phone: 256-232-0636 Fax: 256-232-1281 | |
Lindsay Traynom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22454 Us Highway 72 Ste 200, Athens, AL 35613 Phone: 256-233-2332 | |
Courtney Mcnatt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9151 | |
Diane Goodman Waits, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 800-893-9698 | |
April Seay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Us Highway 72, Athens, AL 35611 Phone: 256-729-9477 | |
Christina C Vail, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 |