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101 S Eisenhower Dr Beckley WV 25801-4929 | |
| (304) 256-7100 | |
| (304) 256-7160 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 S Eisenhower Dr, Beckley, West Virginia |
| Authorized Official Name and Position | Mary M Redman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3042567100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
101 S Eisenhower Dr Beckley WV 25801-4929 Ph: (304) 256-7100 | 101 S Eisenhower Dr Beckley WV 25801-4929 Ph: (304) 256-7100 |
| NPI Number | 1881733616 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 6406747914 |
|---|---|
| Medicare Enrollment ID | O20040323001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881733616 | NPI | - | NPPES |
| 001709451 | Other | WV | BCBS PAY TO ID |
| 0005445002 | Medicaid | WV | |
| 001709450 | Other | WV | BCBS PAY TO ID |
| 0005445001 | Medicaid | WV | |
| 0005445000 | Medicaid | WV | |
| 001802529 | Other | WV | BCBS PAY TO ID |
| 0134961 | Other | UMWA | |
| 3810003487 | Medicaid | WV |
| Provider Name | Hassan A Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184771016 PECOS PAC ID: 3072685437 Enrollment ID: I20080701000173 |
| Provider Name | Rachel J Sowards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033296389 PECOS PAC ID: 8921132630 Enrollment ID: I20100817001047 |
| Provider Name | Tammy Lynn Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104127661 PECOS PAC ID: 0446432827 Enrollment ID: I20110307000123 |
| Provider Name | Safiullah Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376629592 PECOS PAC ID: 9133391204 Enrollment ID: I20111014000001 |
| Provider Name | Ahmed Faheem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649356866 PECOS PAC ID: 4688738578 Enrollment ID: I20120801000135 |
| Provider Name | Edward Bez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336234921 PECOS PAC ID: 1254369325 Enrollment ID: I20130320000000 |
| Provider Name | Mercedes C Weikle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887147 PECOS PAC ID: 6608094503 Enrollment ID: I20140905000223 |
| Provider Name | Stephanie J Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134279581 PECOS PAC ID: 5698080257 Enrollment ID: I20150812006952 |
| Provider Name | Keri N Phares |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477063105 PECOS PAC ID: 6800138884 Enrollment ID: I20190422002586 |
| Provider Name | Chandra D Diebold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942626098 PECOS PAC ID: 7517269426 Enrollment ID: I20190503002174 |
| Provider Name | Carrie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239522 PECOS PAC ID: 6901194760 Enrollment ID: I20200127002139 |
Endless Possibilities Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Kanawha St, Beckley, WV 25801 Phone: 304-923-2862 | |
Fmrs Health Systems Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Eisenhower Dr, Beckley, WV 25801 Phone: 304-256-7100 Fax: 304-256-7160 | |
Nuskool Scholars Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Main St, Beckley, WV 25801 Phone: 304-250-4210 Fax: 681-207-1037 | |
Misti Jones Wheeler Ms Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 805 Johnstown Rd, Beckley, WV 25801 Phone: 304-929-3945 Fax: 304-929-3945 | |
Raleigh Psychiatric Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Mallard Ct, Beckley, WV 25801 Phone: 304-252-8409 Fax: 304-252-0022 |