Coty Darnell Wade, CRNP - Medicare Nurse Practitioner in Centreville, AL

Coty Darnell Wade, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Centreville, Alabama. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice West Alabama Family Practice And Sports Medicine Pc and his current practice location is 195 Hospital Dr, Centreville, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 926-2993.

Coty Darnell Wade is licensed to practice in Alabama (license number 1-097913) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144305053.

Contact Information

Coty Darnell Wade, CRNP
195 Hospital Dr,
Centreville, AL 35042-2935
(205) 926-2993
Not Available



Provider's Profile

Full NameCoty Darnell Wade
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location195 Hospital Dr, Centreville, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Coty Darnell Wade graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1144305053
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 08/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5890950885
  • Enrollment ID: I20120625000379

Medical Identifiers

Medical identifiers for Coty Darnell Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144305053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0600XRegistered Nurse - Gerontology 1-097913 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 1-097913 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
D C H Regional Medical CenterTuscaloosa, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Alabama Family Practice And Sports Medicine Pc12542367557

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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. Coty Darnell Wade allows following entities to bill medicare on his behalf.
Entity NameWest Alabama Family Practice & Sports Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376615476
PECOS PAC ID: 1254236755
Enrollment ID: O20031205000620

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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. Coty Darnell Wade 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
Coty Darnell Wade, CRNP
11954 Foundry Cir,
Mc Calla, AL 35111-2590

Ph: (205) 938-3437
Coty Darnell Wade, CRNP
195 Hospital Dr,
Centreville, AL 35042-2935

Ph: (205) 926-2993

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Nurse Practitioner Nurses in Centreville, AL

Hannah Simpson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 405 Belcher St, Centreville, AL 35042
Phone: 205-926-2992    
Stephanie Savage, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 405 Belcher St, Centreville, AL 35042
Phone: 205-926-2992    
Robin Michelle Birchfield, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 Pierson Avenue, Centreville, AL 35042
Phone: 205-926-4694    Fax: 205-926-3248
Amber Nicole Yartins, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 405 Belcher St, Centreville, AL 35042
Phone: 205-926-2992    
Mr. Joshua Elledge, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 405 Belcher St, Centreville, AL 35042
Phone: 205-926-2992    Fax: 205-316-7675
Mrs. Karlee Johnson Bradford, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 Pierson Ave, Centreville, AL 35042
Phone: 205-926-4881    
Emily Gantt, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 Belcher St, Centreville, AL 35042
Phone: 205-926-2992    

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