Eleanor K Berg, | |
Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 | |
(304) 257-1026 | |
Not Available |
Full Name | Eleanor K Berg |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Route 28/55 Grant Memorial Drive, Petersburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013009570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 31685 (West Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | 31685 (West Virginia) | Primary |
Entity Name | Potomac Highlands Mental Health Guild, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992714398 PECOS PAC ID: 0244316123 Enrollment ID: O20080428000241 |
Mailing Address | Practice Location Address |
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Eleanor K Berg, Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 Ph: (304) 257-1026 | Eleanor K Berg, Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 Ph: (304) 257-1026 |
Robin Phares, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 Fax: 304-257-1412 | |
Becky J Calhoun Harman, RNC MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847 Phone: 304-257-1944 Fax: 304-257-9527 | |
Suenette Lynn Barr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1898 Welton Orchard Rd, Petersburg, WV 26847 Phone: 304-257-0388 | |
Mrs. Jessica Rene' Toney, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 | |
Ashton Louise Humphrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Grove St Ste 1, Petersburg, WV 26847 Phone: 304-257-2451 | |
Mr. Ronald Steven Duncan Jr., AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-1026 |