Jessica Pierce (NPI# 1063918118, PAC ID# 3072862812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063918118 |
| PAC ID by PECOS | 3072862812 |
| Professional Enrollment ID | I20180828000530 |
| Full Name | Jessica Pierce |
| Organization Legal Name | MARK A ROBERTS MD PC |
| Address |
106 Edwina St Evergreen AL 36401-3319 |
| Phone Number | 2515784300 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365541844 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010148 | EVERGREEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 106 Edwina St, Evergreen, AL 36401-3319 | 2515784300 | MARK A ROBERTS MD PC |
| Organization Legal Name | MARK A ROBERTS MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Roberts | Family Medicine | Mark A Roberts Md PC | 106 Edwina St, Evergreen, AL 36401-3319 |
| Street Address |
106 EDWINA ST |
| City | EVERGREEN |
| State | AL |
| Zip | 36401-3319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Roberts | Family Medicine | Mark A Roberts Md PC | 106 Edwina St, Evergreen, AL 36401-3319 |
| William R Farmer Iii | Internal Medicine | 106 Edwina St, Evergreen, AL 36401-3319 | |
| Deborah R Tisdale | Emergency Medicine | Evergreen Medical Center LLC | 106 Edwina St, Evergreen, AL 36401-3319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C. Walsh | Physical Therapy | Encore Rehabilitation Inc | 124 Edwina St, Evergreen, AL 36401-2847 |
| Hector L Salemi-castro | Internal Medicine | 420 W Front St, Evergreen, AL 36401-3279 | |
| Stanley Barnes | Family Medicine | 680 W Front St, Evergreen, AL 36401-3285 | |
| Stephen M West | Family Medicine | 680 W Front St, Evergreen, AL 36401-3285 | |
| Joshua T Wing | Nurse Practitioner | Bayside Orthopedic and Rehabilitation Center PC | 100 Lewis St, Evergreen, AL 36401-3317 |
| Helen Scharko | Family Medicine | 102 Edwina St, Evergreen, AL 36401-3319 | |
| Aubrey A Odom | Optometry | 315 S Main St, Evergreen, AL 36401-3330 |
| City | EVERGREEN |
| Zip Code | 36401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EVERGREEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Pierce.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.