| Regard Recovery Wv, Llc | |
|
237 Kruger St Wheeling WV 26003-5174 | |
| (412) 983-9849 | |
| (855) 919-6051 |
| Full Name | Regard Recovery Wv, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 237 Kruger St, Wheeling, West Virginia |
| Authorized Official Name and Position | Leigh Ann Harvey (PROGRAM MANAGER) |
| Authorized Official Contact | 6812077105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regard Recovery Wv, Llc 550 N Eisenhower Dr Beckley WV 25801-3109 Ph: () - | Regard Recovery Wv, Llc 237 Kruger St Wheeling WV 26003-5174 Ph: (412) 983-9849 |
| NPI Number | 1093308405 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 0042601502 |
|---|---|
| Medicare Enrollment ID | O20211217000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093308405 | NPI | - | NPPES |
| Provider Name | Kristy Lynn Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801184833 PECOS PAC ID: 2365614278 Enrollment ID: I20111018000494 |
| Provider Name | Russell Libiore Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191224 PECOS PAC ID: 6608898945 Enrollment ID: I20180521002669 |
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