Braylynn Diane Clark, APRN | |
800 Wheeling Ave, Glen Dale, WV 26038-1660 | |
(304) 845-3211 | |
Not Available |
Full Name | Braylynn Diane Clark |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 800 Wheeling Ave, Glen Dale, 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 |
---|---|---|---|
1023870896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1113368 (West Virginia) | Primary |
Entity Name | Reynolds Memorial Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518068014 PECOS PAC ID: 9830184530 Enrollment ID: O20040420000896 |
Mailing Address | Practice Location Address |
---|---|
Braylynn Diane Clark, APRN 510 Frederick St, Follansbee, WV 26037-1716 Ph: (740) 424-1625 | Braylynn Diane Clark, APRN 800 Wheeling Ave, Glen Dale, WV 26038-1660 Ph: (304) 845-3211 |
Dr. Cody Braxton Larsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Dr. Joseph Matthew Palumbo, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Debra L Henry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Michael Warren Burkhart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Shawn Posin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 | |
Fred Shaune Robertson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 |