Jennifer Dagg, | |
330 Hospice Ln, Kearneysville, WV 25430-4547 | |
(806) 445-2257 | |
Not Available |
Full Name | Jennifer Dagg |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 330 Hospice Ln, Kearneysville, 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 |
---|---|---|---|
1346947397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WH1000X | Registered Nurse - Hospice | 102035 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 117157 (West Virginia) | Primary |
Entity Name | Hospice Of The Panhandle, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740865179 PECOS PAC ID: 2466558937 Enrollment ID: O20210112001306 |
Mailing Address | Practice Location Address |
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Jennifer Dagg, 107 Foxhall Rd, Charles Town, WV 25414-2502 Ph: (304) 707-5152 | Jennifer Dagg, 330 Hospice Ln, Kearneysville, WV 25430-4547 Ph: (806) 445-2257 |
Dr. Lincy Gregory, DNP, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 Wiltshire Rd, Kearneysville, WV 25430 Phone: 304-728-8416 | |
Jessica Amanda Lewis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3094 Charles Town Rd, Kearneysville, WV 25430 Phone: 304-901-2070 | |
Jan Augusta Nieves, PMHNP-BC (APRN) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3094 Charlestown Road, Kearneysville, WV 25430 Phone: 304-901-2070 |