| Lisa Marie Mccloy, CRNA | |
|
101 Stadium Dr, Morgantown, WV 26506-7911 | |
| (304) 598-4000 | |
| (304) 293-6963 |
| Full Name | Lisa Marie Mccloy |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 Stadium Dr, Morgantown, 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 |
|---|---|---|---|
| 1982613014 | NPI | - | NPPES |
| 3810006674 | Medicaid | WV | |
| P00354769 | Other | WV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 47628 (West Virginia) | Primary |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Mccloy, CRNA Po Box 897, Morgantown, WV 26507-0897 Ph: (304) 293-7401 | Lisa Marie Mccloy, CRNA 101 Stadium Dr, Morgantown, WV 26506-7911 Ph: (304) 598-4000 |
Tanya C Ammons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-285-7126 | |
Jillann M Balko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4122 | |
Taylor Elizabeth Spinosi, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
David R Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000 | |
Lori A Rizor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 J D Anderson Dr, Monongalia Genral Hospital, Morgantown, WV 26505 Phone: 304-285-1245 Fax: 304-285-2131 | |
Walter J Kielkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4000 Fax: 304-293-6963 | |
Amanda Renee Larew, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 French Quarters Dr, Morgantown, WV 26505 Phone: 304-376-7635 |