| Gavin Blake Vincent, PA-C | |
|
800 Grand Central Mall Ste 3, Vienna, WV 26105-4100 | |
| (304) 865-0555 | |
| Not Available |
| Full Name | Gavin Blake Vincent |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 Grand Central Mall Ste 3, Vienna, 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 |
|---|---|---|---|
| 1134683394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008497RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 2709 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Blake Vincent, PA-C 120 Medical Park Dr Ste 200, Bridgeport, WV 26330-9013 Ph: (304) 624-7200 | Gavin Blake Vincent, PA-C 800 Grand Central Mall Ste 3, Vienna, WV 26105-4100 Ph: (304) 865-0555 |
Adriana D Sevy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105 Phone: 304-424-4150 | |
Heather Lynn Mossbarger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Ave Ste 3, Vienna, WV 26105 Phone: 304-865-0555 | |
Megan Ann Fluharty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Ste 3, Vienna, WV 26105 Phone: 304-865-0555 Fax: 304-865-0556 | |
Mrs. Karen Malee Palmateer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 Phone: 304-916-1288 Fax: 304-916-1289 |