| Zachary Blake Gentry, | |
| 307 Main St Sw, Hanceville, AL 35077-5476 | |
| (256) 352-4767 | |
| (256) 352-4797 | 
| Full Name | Zachary Blake Gentry | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 307 Main St Sw, Hanceville, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669021093 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-152297 (Alabama) | Primary | 
| Entity Name | University Of Alabama Health Services Foundation, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 | 
| Entity Name | Southview Medical Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033554357 PECOS PAC ID: 7315188281 Enrollment ID: O20130719000228 | 
| Entity Name | Accurx Infusion Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922515568 PECOS PAC ID: 6305101908 Enrollment ID: O20180601000626 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Zachary Blake Gentry, 9338 Doss Ferry Ln, Kimberly, AL 35091-2030 Ph: (256) 620-0304 | Zachary Blake Gentry, 307 Main St Sw, Hanceville, AL 35077-5476 Ph: (256) 352-4767 | 
| Mandy Shay Laney, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Main St Nw, Hanceville, AL 35077 Phone: 256-352-4767 Fax: 256-352-4797 | |
| Mrs. Sheli Margaret Ward, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 County Road 262, Hanceville, AL 35077 Phone: 256-781-0718 Fax: 256-417-4534 | |
| Julia Renae Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 County Road 262, Hanceville, AL 35077 Phone: 256-781-0718 Fax: 256-417-4534 | |
| Mrs. Torri Selvage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Main St Sw, Hanceville, AL 35077 Phone: 256-352-4766 Fax: 256-352-4797 | |
| Mrs. Ashley Campbell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Arkadelphia Rd Ne, Hanceville, AL 35077 Phone: 256-352-4767 |