| Pai Medical Wv Pllc | |
|
3058c Charles Town Rd Kearneysville WV 25430-2669 | |
| (860) 322-6712 | |
| (860) 706-8151 |
| Full Name | Pai Medical Wv Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3058c Charles Town Rd, Kearneysville, West Virginia |
| Authorized Official Name and Position | Melissa King (DIRECTOR) |
| Authorized Official Contact | 8603226712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Medical Wv Pllc 101 Centerpoint Dr Ste 105 Middletown CT 06457-7568 Ph: (860) 322-6712 | Pai Medical Wv Pllc 3058c Charles Town Rd Kearneysville WV 25430-2669 Ph: (860) 322-6712 |
| NPI Number | 1972323061 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 2567996838 |
|---|---|
| Medicare Enrollment ID | O20241108001329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972323061 | NPI | - | NPPES |
| Provider Name | Bronya Kay Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972745156 PECOS PAC ID: 9830248715 Enrollment ID: I20090526000139 |
| Provider Name | Elizabeth Catherine Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20180212001791 |
| Provider Name | Erin Elisa Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154875359 PECOS PAC ID: 8729344965 Enrollment ID: I20181217003093 |
| Provider Name | Kathryn Nesbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623303 PECOS PAC ID: 8325352180 Enrollment ID: I20221227001150 |
| Provider Name | Christopher Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629785175 PECOS PAC ID: 0042680480 Enrollment ID: I20221230000126 |
| Provider Name | Mekeesha Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053517946 PECOS PAC ID: 0749347987 Enrollment ID: I20231202000021 |
| Provider Name | Carol Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347594 PECOS PAC ID: 8628145042 Enrollment ID: I20240108006257 |
| Provider Name | Jason Quiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326557240 PECOS PAC ID: 5496011314 Enrollment ID: I20240129003856 |
| Provider Name | Kristen Cinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467941963 PECOS PAC ID: 2668737297 Enrollment ID: I20240208000013 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20240212002074 |
| Provider Name | Stacey Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336462936 PECOS PAC ID: 6901240704 Enrollment ID: I20240220004212 |
| Provider Name | Tiffany Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487938809 PECOS PAC ID: 0244404242 Enrollment ID: I20240426000465 |
| Provider Name | Seth Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467683300 PECOS PAC ID: 6507164506 Enrollment ID: I20241018000581 |
| Provider Name | Phyllis Mogielski Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295909851 PECOS PAC ID: 7315397403 Enrollment ID: I20241023004927 |
| Provider Name | Mark Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528696762 PECOS PAC ID: 1456772276 Enrollment ID: I20241108001825 |
| Provider Name | Alba Guevara |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063867398 PECOS PAC ID: 8921391285 Enrollment ID: I20241108003862 |
| Provider Name | Tamela Cook-mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699216192 PECOS PAC ID: 0143599613 Enrollment ID: I20241127004310 |
Pai Medical Wv Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3058c Charles Town Rd, Kearneysville, WV 25430 Phone: 860-322-6712 Fax: 860-706-8151 | |
Renovo Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E Burr Blvd, Kearneysville, WV 25430 Phone: 681-252-1632 Fax: 300-455-3743 | |
Healing Options Providing Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Ruland Rd, Kearneysville, WV 25430 Phone: 304-279-5553 Fax: 304-606-3096 | |
Continuous Journey Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 179 E Burr Blvd Ste F, Kearneysville, WV 25430 Phone: 304-283-0022 Fax: 304-521-6078 | |
Renovo Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E Burr Blvd Fl 1, Kearneysville, WV 25430 Phone: 681-252-1632 | |
Pursuecare Wv Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3058c Charles Town Rd, Kearneysville, WV 25430 Phone: 860-322-6712 Fax: 860-706-8151 | |