Tracy Hendershot, MD | |
1301 Elizabeth Pike, Elizabeth, WV 26143-0609 | |
(304) 275-3301 | |
(304) 275-4798 |
Full Name | Tracy Hendershot |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1301 Elizabeth Pike, Elizabeth, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881855807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23784 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of West Virginia | Vienna, WV | Home health agency |
Camden Clark Medical Center | Parkersburg, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Camden-clark Physician Corporation | 5294885661 | 182 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | Wirt County Health Services Association, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1043401730 PECOS PAC ID: 7810806577 Enrollment ID: O20080602000050 |
Entity Name | Camden-clark Physician Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
Mailing Address | Practice Location Address |
---|---|
Tracy Hendershot, MD Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 | Tracy Hendershot, MD 1301 Elizabeth Pike, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 |
Cristina G. Estrada, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 Elizabeth Pike, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 |