Amber Brannon, CRNP - Medicare Nurse Practitioner in Dothan, AL

Amber Brannon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. Her current practice location is 1118 Ross Clark Cir Ste 303, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 794-3192.

Amber Brannon is licensed to practice in Alabama (license number 1-143459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417534330.

Contact Information

Amber Brannon, CRNP
1118 Ross Clark Cir Ste 303,
Dothan, AL 36301-3002
(334) 794-3192
(877) 553-0033



Provider's Profile

Full NameAmber Brannon
GenderFemale
SpecialityNurse Practitioner - Family
Location1118 Ross Clark Cir Ste 303, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417534330
  • Provider Enumeration Date: 03/26/2021
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941664411
  • Enrollment ID: I20230915003671

Medical Identifiers

Medical identifiers for Amber Brannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417534330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 1-143459 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 1-143459 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Brannon allows following entities to bill medicare on her behalf.
Entity NameFairview Clinic, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184693053
PECOS PAC ID: 5991722076
Enrollment ID: O20051027001016

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Brannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amber Brannon, CRNP
1118 Ross Clark Cir Ste 303,
Dothan, AL 36301-3034

Ph: (334) 794-3192
Amber Brannon, CRNP
1118 Ross Clark Cir Ste 303,
Dothan, AL 36301-3002

Ph: (334) 794-3192

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Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1812 E Main St, Dothan, AL 36301
Phone: 334-792-5184    Fax: 334-792-5190
Heather Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-836-1212    
Jenna Oates, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 287 Healthwest Dr, Dothan, AL 36303
Phone: 334-792-9500    
Mrs. Samantha Poole Carter, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305
Phone: 334-944-7056    Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Haven Dr, Dothan, AL 36301
Phone: 334-793-3319    Fax: 334-793-2291
Amanda B Imming, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Melba Drive, Dothan, AL 36301
Phone: 334-794-6611    Fax: 334-794-6614
Vickie D Sconyers, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305
Phone: 334-793-6511    Fax: 334-677-5642

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