Julie Smith, | |
150 Memorial Dr, Kingwood, WV 26537-1141 | |
(304) 329-1400 | |
Not Available |
Full Name | Julie Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 150 Memorial Dr, Kingwood, 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 |
---|---|---|---|
1184313140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 102053 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 117186 (West Virginia) | Primary |
Entity Name | Preston Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
Mailing Address | Practice Location Address |
---|---|
Julie Smith, 428 Morgantown St, Kingwood, WV 26537-1140 Ph: (304) 329-0256 | Julie Smith, 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 329-1400 |
Brooklyn Jo Ayersman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0555 | |
Tracy Underwood, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1343 N Preston Hwy, Kingwood, WV 26537 Phone: 304-441-2001 | |
Terrie Lyn Roth, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-329-1400 | |
Courtney Layton, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 Morgantown St, Kingwood, WV 26537 Phone: 304-329-0256 Fax: 304-329-0733 | |
Mrs. Debra D Miller-fike, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088 | |
Heather Lynn Reckart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N Price St, Kingwood, WV 26537 Phone: 304-329-3500 Fax: 304-329-2088 | |
Mrs. Courtni Lee Dewitt, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Memorial Dr, Kingwood, WV 26537 Phone: 304-288-4376 |