Amy E Tickle, MD | |
3200 Maccorkle Ave Se, Suite 502, Charleston, WV 25304-1227 | |
(304) 388-5848 | |
(304) 388-9654 |
Full Name | Amy E Tickle |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3200 Maccorkle Ave Se, Charleston, 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 |
---|---|---|---|
1992921217 | NPI | - | NPPES |
P01045604 | Other | WV | MEDICARE RAILROAD |
3810013834 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 23020 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 23020 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
Entity Name | Cabin Creek Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
Mailing Address | Practice Location Address |
---|---|
Amy E Tickle, MD 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Amy E Tickle, MD 3200 Maccorkle Ave Se, Suite 502, Charleston, WV 25304-1227 Ph: (304) 388-5848 |
Tamra Aman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304 Phone: 304-720-7305 Fax: 304-720-7310 | |
Dr. Jeffrey V Ashley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Fifth Floor, Charleston, WV 25304 Phone: 304-388-4600 Fax: 304-388-4637 | |
Hoda Kasem, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se,, Hospitalist Program, Charleston, WV 25301 Phone: 304-347-4620 | |
E Michael Robie, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4600 Fax: 304-388-4603 | |
Amanda Whaley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Hunters Point Rd, Charleston, WV 25314 Phone: 304-720-3555 | |
Dr. Emily A.p. Montgomery, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-347-1300 Fax: 304-347-1397 | |
Dr. Gregory Jarrell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Washington St E, Suite 108, Charleston, WV 25301 Phone: 304-347-4600 Fax: 304-347-4621 |