Mr Gary Wayne Ammons, MS | |
United Summit Center, #6 Hospital Plaza, Clarksburg, WV 26301 | |
(304) 623-5661 | |
(304) 623-2989 |
Full Name | Mr Gary Wayne Ammons |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | United Summit Center, Clarksburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750395620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1648 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
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Mr Gary Wayne Ammons, MS 1371 Overhill Rd, Fairmont, WV 26554-2414 Ph: (304) 363-8583 | Mr Gary Wayne Ammons, MS United Summit Center, #6 Hospital Plaza, Clarksburg, WV 26301 Ph: (304) 623-5661 |
Kimberly Michelle Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Hospital Plaza, Clarksburg, WV 26301 Phone: 304-623-5661 Fax: 304-623-2180 | |
Tammy J Dewitt, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-622-7511 | |
Brenda L Smith, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-241-2052 | |
Kimberly Ann Downey, Counselor Medicare: Medicare Enrolled Practice Location: 3 Hospital Plz, Clarksburg, WV 26301 Phone: 304-969-3174 Fax: 304-969-3125 | |
Shannon Marie Labelle, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-622-7511 Fax: 304-622-6856 | |
Caitlin Nicole Mcguire, BA, CPHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-622-7511 | |
Kelsey Perry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-241-2051 Fax: 304-622-6856 |