| Troy Henderson, CRNP | |
|
1604 Stouts Rd, Fultondale, AL 35068-1962 | |
| (205) 849-9811 | |
| (205) 250-9812 |
| Full Name | Troy Henderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1604 Stouts Rd, Fultondale, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609324003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 1-143199 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Sports Medicine Birmingham, Llc | 4880082429 | 180 |
| Birmingham Internal Medicine Associates, Llc | 1658341193 | 123 |
| Entity Name | Birmingham Internal Medicine Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598796542 PECOS PAC ID: 1658341193 Enrollment ID: O20040730000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Henderson, CRNP Po Box 830230, Birmingham, AL 35283-0230 Ph: (205) 250-6845 | Troy Henderson, CRNP 1604 Stouts Rd, Fultondale, AL 35068-1962 Ph: (205) 849-9811 |
Natasha Leann Workman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6424 |
Mrs. Jennifer Grace Peacock, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6424 |
Emily Burns, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6000 |
Charles Ridgeway Payne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3631 Grand Central Ave, Fultondale, AL 35068 Phone: 205-535-6011 |
Mrs. Meleah Beth Yates, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811 |
Daniel Nailor, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz, #115, Fultondale, AL 35068 Phone: 205-340-5712 |
Vy Le, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3693 Grand Central Ave, Fultondale, AL 35068 Phone: 205-253-1233 |