| Rest Ensured Sleep Technologies | |
|
6171 Childers Rd Barboursville WV 25504-1227 | |
| (304) 733-5380 | |
| (304) 733-5796 |
| Full Name | Rest Ensured Sleep Technologies |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6171 Childers Rd, Barboursville, West Virginia |
| Authorized Official Name and Position | Debra J Stultz (MEMBER) |
| Authorized Official Contact | 3046386163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rest Ensured Sleep Technologies Po Box 457 Barboursville WV 25504-0457 Ph: (304) 733-5380 | Rest Ensured Sleep Technologies 6171 Childers Rd Barboursville WV 25504-1227 Ph: (304) 733-5380 |
| NPI Number | 1649593377 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 05/06/2015 |
| Medicare PECOS PAC ID | 0840316204 |
|---|---|
| Medicare Enrollment ID | O20100923000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649593377 | NPI | - | NPPES |
| 1346244936 | Other | MHNET | |
| 1346249836 | Other | CIGNA BEHAVIORAL HEALTH | |
| 1346249836 | Other | MSBCBS | |
| 1346249836 | Other | UNITED BEHAVIORAL HEALTH | |
| 1346249836 | Other | HEALTHNET/TRICARE | |
| 1346249836 | Other | HUMANA | |
| 1346244936 | Other | WELLS FARGO (PEIA) | |
| 1346249836 | Other | 4-MOST | |
| 4510542 | Other | AETNA | |
| 3810018469 | Medicaid | WV | |
| 1346249836 | Other | CARELINK/COVENTRY |
| Provider Name | Jamie R Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568472512 PECOS PAC ID: 8123175411 Enrollment ID: I20090401000509 |
| Provider Name | Debra J Stultz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346249836 PECOS PAC ID: 5991821357 Enrollment ID: I20100923000578 |
| Provider Name | Cheri Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043706872 PECOS PAC ID: 7315296696 Enrollment ID: I20180926003383 |
| Provider Name | Kristen Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518427459 PECOS PAC ID: 3779819610 Enrollment ID: I20190730002271 |
| Provider Name | Star Michelle Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790393577 PECOS PAC ID: 5193088011 Enrollment ID: I20200916000292 |
| Provider Name | Shannon Summer Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346958279 PECOS PAC ID: 3173994449 Enrollment ID: I20230427000204 |
| Provider Name | Tyler R Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063881613 PECOS PAC ID: 9830541655 Enrollment ID: I20240117003253 |
| Provider Name | Lisa Annette Rich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558512954 PECOS PAC ID: 9234581752 Enrollment ID: I20240122000023 |
| Provider Name | James D Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487826400 PECOS PAC ID: 0143673137 Enrollment ID: I20240125003331 |
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