Jennifer Anne Hines, DO | |
100 Florida St, Charleston, WV 25302-1131 | |
(304) 414-4015 | |
(304) 414-4018 |
Full Name | Jennifer Anne Hines |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 100 Florida St, 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 |
---|---|---|---|
1043491871 | NPI | - | NPPES |
3187 | Other | WV | DOCTOR OF OSTEOPATHY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3187 (West Virginia) | Primary |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
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 | West Virginia School Of Osteopathic Medicine Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Anne Hines, DO 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 Ph: (304) 757-6999 | Jennifer Anne Hines, DO 100 Florida St, Charleston, WV 25302-1131 Ph: (304) 414-4015 |
Dr. John M Eckerd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 Phone: 304-388-1552 Fax: 304-388-1577 | |
Jane Elizabeth Nicholas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-414-1880 Fax: 304-414-1886 | |
Afif S Habash, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-442-8117 | |
Mrs. Mary C Pozega, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-7001 Fax: 304-925-7234 | |
Youmna Mousattat, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2525 | |
Dr. Stefan Randolph Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302 Phone: 304-388-2238 Fax: 304-388-2243 |